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Oklahoma 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 / $2.86 / $4.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.86 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.65 / $2.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.65 / $2.65