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Indiana 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
$2.67 / $5.86 / $12.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.67 / $2.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $5.30 / $7.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.65 / $3.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.92 / $3.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.65 / $6.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.90 / $4.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.31