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Washington rates for HCPCS J7211

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $2.67 / $3.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.72 / $1.91
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $2.21 / $4.55
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.75 / $2.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $3.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.92
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.96 / $4.71
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $2.27 / $3.99
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.61 / $2.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.80 / $3.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57