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Louisiana 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
$2.65 / $2.73 / $5.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.67 / $3.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.79 / $2.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.58
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
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 / $3.62