go back

Nebraska 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
$1.58 / $3.02 / $3.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $3.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.68 / $1.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.75 / $1.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.57 / $1.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.58 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.58 / $1.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $2.29 / $3.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.81 / $3.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.57 / $1.73