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Texas 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 / $4.15 / $5.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.67 / $3.71
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $3.79 / $3.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.65 / $4.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.65 / $3.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.65 / $4.43
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
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $3.58