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Maine 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
$6.15 / $6.15 / $6.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.21 / $3.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $3.22 / $8.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.21
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.15 / $6.15 / $6.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.21 / $6.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.98