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Arizona rates for HCPCS J7204

Injection, Factor VIII, antihemophilic factor (recombinant), (Esperoct), glycopegylated-exei, per IU

Facilitymedian $5 · 10th–90th $2–$130%10%10th90th$5Professionalmedian $2 · 10th–90th $2–$40%50%90th$2$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $4.17 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $8.13 / $14.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $4.27 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $3.72 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $3.02 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.24 / $3.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.24 / $2.24