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Arkansas rates for HCPCS J7208

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $3.18 / $3.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.18 / $3.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.88 / $2.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.65 / $2.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.08