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Oklahoma 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 / $2.62 / $4.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.62 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.42 / $2.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43