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Louisiana rates for HCPCS J7211

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.63 / $3.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.58 / $1.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.23 / $1.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $2.68