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Montana rates for HCPCS J7207

Injection, Factor VIII, (antihemophilic factor, recombinant), PEGylated, 1 IU

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.60 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $5.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $5.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.27 / $2.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10