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Utah rates for HCPCS J7210

Injection, Factor VIII, (antihemophilic factor, recombinant), (Afstyla), 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.55 / $3.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $2.14 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.82 / $5.37
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.62 / $1.70
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.58 / $1.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58