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Montana rates for HCPCS J7210

Injection Factor Viii (Antihemophilic Factor Recombinant) (Afstyla) 1 I.U.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.91 / $3.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $3.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $3.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.70 / $2.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57