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New Mexico rates for HCPCS J7208

Injection Factor Viii (Antihemophilic Factor Recombinant) Pegylated-Aucl (Jivi) 1 I.U.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $4.13 / $4.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.36 / $5.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $2.65 / $2.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $2.45 / $4.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65