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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
$2.00 / $2.29 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.63 / $2.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.24 / $2.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.82 / $3.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.24 / $3.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.24 / $3.31