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Iowa rates for HCPCS J7204

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

Facilitymedian $2 · 10th–90th $2–$20%50%$2Professionalmedian $2 · 10th–90th $2–$40%50%90th$2$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$2.00 / $2.24 / $8.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.45 / $2.88
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $33.88 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.24 / $3.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $3.31
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.82 / $2.82
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.24 / $2.40
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24