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Pennsylvania 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 / $6.20 / $8.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.67 / $5.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $2.87 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.75
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $5.27 / $8.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.68 / $8.06
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.65 / $2.65
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $2.17 / $2.52
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.17 / $2.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.66