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Idaho rates for HCPCS J7208

Injection Factor Viii (Antihemophilic Factor Recombinant) Pegylated-Aucl (Jivi) 1 I.U.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.91 / $3.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.65 / $2.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $3.51 / $4.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $3.66 / $6.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.71