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South Carolina 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
$2.78 / $2.78 / $11.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.78 / $4.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $2.89 / $4.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.31 / $3.95
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $3.34 / $6.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $3.69 / $3.69
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