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Massachusetts rates for HCPCS J7204

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

Facilitymedian $3 · 10th–90th $2$60%20%40%10th90th$3Professionalmedian $2 · 10th–90th $2$40%50%10th90th$2$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$2.00
Median
$3.47
Typical High
$6.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.82
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$5.62
Typical High
$7.41
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$4.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$4.68
Typical High
$9.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.24
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$3.24
Typical High
$6,918.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$3.72
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$5.62
Typical High
$7.41
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.88
United
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$2.24
Typical High
$4.57
United
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.88