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Factor VIII (Esperoct) Injection

Montana rates for HCPCS J7204

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

Rates data updated July 2026.

How much does Esperoct cost?

$2.45per IU

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $2.45 for each IU of this drug. The price depends on where it is billed: about $2.51 from a physician practice, and about $2.40 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per IU. Enter the amount given to see what insurers have agreed to pay for it.

IU
In a doctor's office or clinic
$2.51
At a hospital outpatient department
$2.40

The same drug, in the same amount, costs 5% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.51$2.24 to $2.82
FacilityA hospital or hospital-owned outpatient department$2.40$2.24 to $2.82

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $4Professionalmedian $3 · 10th to 90th $2 to $6
$2$5$10$20$50facility $2professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.69
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$2.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.45
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$2.29
Typical High
$6.31
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.29
Typical High
$6.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$2.45
Providence
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$3.16
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.24

Where Montana sits

The same service costs 2.3 times more in Delaware than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 18th of 51

$2.45

DE $5.25VT $2.24

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.