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Illinois rates for HCPCS J7204

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

Facilitymedian $4 · 10th–90th $2–$60%20%10th90th$4Professionalmedian $2 · 10th–90th $2–$40%50%90th$2$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$2.24 / $3.72 / $5.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $8.91 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $4.17 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $34.67 / $100.00
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $2.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.24 / $2.40