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Missouri rates for HCPCS J7204

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

Facilitymedian $3 · 10th–90th $2$80%20%10th90th$3Professionalmedian $2 · 10th–90th $2$40%20%40%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

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
$2.00 / $3.24 / $10.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $4.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.40 / $7.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $3.89 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.82 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.24 / $2.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.63 / $2.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.24 / $2.75