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Michigan rates for HCPCS J7204

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

Facilitymedian $4 · 10th–90th $2–$70%10%10th90th$4Professionalmedian $2 · 10th–90th $2–$30%50%90th$2$2.0$5.0$10.0$20.0

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
$2.29 / $4.47 / $7.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.63
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $5.01 / $9.77
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.29 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $4.47 / $7.24
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.29 / $3.47
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.24 / $2.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.24 / $2.40