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Kansas 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
$2.31 / $3.11 / $9.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.27 / $3.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $2.50 / $2.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.84 / $3.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.25 / $2.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $3.20