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Hawaii 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
$4.32 / $4.32 / $4.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $3.18 / $3.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.94 / $3.98
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.80 / $3.16