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Massachusetts 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 / $2.65 / $5.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.75 / $3.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $7.10 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $3.38 / $7.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $5.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.71