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Factor VIII (Esperoct) Injection

Illinois rates for HCPCS J7204

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

Rates data updated October 2026.

How much does Esperoct cost?

$2.29per IU

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $2.29 for each IU of this drug. The price depends on where it is billed: about $2.29 from a physician practice, and about $4.57 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per IU. Enter the amount given to see what insurers have agreed to pay for it.

IU
In a doctor's office or clinic
$2.29
At a hospital outpatient department
$4.57

The same drug, in the same amount, costs 100% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.29$2.24 to $2.29
FacilityA hospital or hospital-owned outpatient department$4.57$3.24 to $6.17

How much rates vary

Facilitymedian $5 · 10th to 90th $2 to $9Professionalmedian $2 · 10th to 90th $2 to $3
$2$5$10$20facility $5professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2.14
Median
$2.29
Typical High
$8.32
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.29
Median
$2.29
Typical High
$2.29
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.15
Median
$1.15
Typical High
$1.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.46
Median
$0.46
Typical High
$0.46
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.23
Median
$0.23
Typical High
$0.23
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$5.75
Median
$8.13
Typical High
$18.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.09
Median
$4.57
Typical High
$5.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.29
Median
$2.29
Typical High
$2.29
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1.91
Median
$2.34
Typical High
$3.31
Hally Health
Setting
Professional
Modifier
None
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
United
Setting
Facility
Modifier
None
Typical Low
$2.29
Median
$2.29
Typical High
$5.13
United
Setting
Professional
Modifier
None
Typical Low
$2.24
Median
$2.24
Typical High
$2.34

Where Illinois sits

The same service costs 1.9 times more in Alaska than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 39th of 51

$2.29

AK $4.17RI $2.24

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.