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Washington, DC 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 / $6.37 / $8.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $3.38 / $5.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $2.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.22 / $3.60