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Ohio 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
$2.63 / $4.47 / $7.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $4.27 / $9.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.95 / $4.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $4.47
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.63
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $4.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.31 / $3.80
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.47 / $6.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.82