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Pennsylvania 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 / $3.70 / $4.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.58 / $3.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.70 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.63 / $1.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.57 / $1.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $2.85 / $4.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.60 / $4.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.57 / $1.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.56
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $2.71