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North Carolina 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
$2.18 / $3.07 / $4.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.31 / $3.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $5.34 / $5.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.65 / $2.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $3.15 / $3.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.99 / $2.99 / $4.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.45
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00