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Colorado rates for HCPCS J7204

Injection Factor Viii Antihemophilic Factor (Recombinant) (Esperoct) Glycopegylated-Exei Per Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $4.48 / $4.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.40 / $2.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $3.82 / $7.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.10 / $3.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.22
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.74 / $3.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.45 / $3.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.22