go back

Maine 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
$3.64 / $7,255.29 / $7,388.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.91 / $1.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.91 / $4.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.64 / $3.64 / $7,255.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.91 / $3.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $2.75