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Kansas 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
$2.70 / $3.70 / $11.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.70 / $3.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $2.76 / $2.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $2.74 / $2.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $3.16 / $4.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.65 / $3.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.99 / $2.99 / $2.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $4.24