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North Dakota 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
$2.65 / $2.65 / $4.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $2.88 / $2.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.89 / $2.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.50 / $3.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $3.62 / $7.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.65 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.65 / $2.88