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Utah 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
$3.07 / $3.07 / $3.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $3.43 / $3.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.56 / $4.93 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.65 / $2.65