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Montana rates for HCPCS J7211

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $2.88 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.70
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.51 / $4.37
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.51 / $4.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $3.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.24 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58