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Connecticut 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
$2.31 / $3.48 / $6.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $3.37 / $6.65
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
$2.22 / $2.22 / $2.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.22
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.41 / $2.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.22 / $2.94