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Montana rates for HCPCS J7208

Injection, Factor VIII, (antihemophilic factor, recombinant), PEGylated-aucl, (Jivi), 1 IU

Facilitymedian $3 · 10th–90th $2–$70%20%10th90th$3Professionalmedian $2 · 10th–90th $2–$60%50%90th$2$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.75
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.45 / $7.08
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.45 / $7.08
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $6.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.72 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63