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Utah 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
$1.82 / $1.82 / $1.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.09 / $2.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $2.97 / $4.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.57 / $1.57