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Vermont rates for HCPCS J7208

Injection Factor Viii (Antihemophilic Factor Recombinant) Pegylated-Aucl (Jivi) 1 I.U.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $4.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.77 / $4.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.77 / $4.62
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.65 / $3.08