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Pennsylvania rates for HCPCS J7205

Injection Factor Viii Fc Fusion (Recombinant) Per Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $5.66 / $7.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.45 / $5.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.63 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.43 / $2.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $4.13 / $7.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.45 / $7.36
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.43 / $2.43
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.48
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $3.22