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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
$6.17 / $6.61 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $3.09 / $8.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $3.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $6.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.63 / $3.80