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Indiana rates for HCPCS J7204

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

Facilitymedian $3 · 10th–90th $2$60%20%10th90th$3Professionalmedian $2 · 10th–90th $2$30%50%90th$2$2.0$5.0$10.0

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
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$5.25
Typical High
$10.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$3.39
Typical High
$4.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$4.27
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$3.31
Typical High
$4.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$6.17
Typical High
$6.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.82
United
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$4.27
Typical High
$4.27
United
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$4.47