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Michigan 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
$2.73 / $2.73 / $8.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.73 / $3.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $5.88 / $11.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.69 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.65 / $2.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $3.62 / $7.60
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.73 / $3.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $2.81 / $3.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.81