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Nebraska rates for HCPCS J7205

Injection, Factor VIII Fc fusion protein (recombinant), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $4.67 / $5.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $5.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.61 / $2.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.74 / $2.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.43 / $2.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.42 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.42 / $2.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $3.51 / $4.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.78 / $5.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.43 / $2.43