go back

Nebraska 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 / $5.09 / $5.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $5.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.85 / $3.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $2.97 / $3.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.65 / $3.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.65 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.65 / $2.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $3.77 / $4.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.07 / $5.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.99 / $6.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.65 / $2.92