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Missouri 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
$2.70 / $3.62 / $4.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.73 / $3.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $4.51 / $9.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.31
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $3.16 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.65 / $3.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $3.28 / $4.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.65 / $3.24