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Montana rates for HCPCS J7212

Factor VIIa (antihemophilic factor, recombinant)-jncw (Sevenfact), 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.90 / $2.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.72 / $2.72 / $2.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.72 / $2.72 / $2.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.58 / $3.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37