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Wisconsin rates for HCPCS J7207

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $4.19 / $4.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.16 / $4.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $3.89 / $4.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $2.87 / $3.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $5.09 / $7.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $3.09 / $3.51
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.15 / $4.28
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $4.20 / $4.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.15 / $4.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.15 / $4.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.15 / $4.28
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $4.20 / $4.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.35 / $6.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $2.95 / $2.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $3.08