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New Hampshire 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 / $2.97 / $5.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $4.51 / $11.58
Anthem 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 / $2.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $4.30 / $8.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.70 / $3.43