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North Carolina rates for HCPCS J7204

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

Facilitymedian $3 · 10th–90th $2$40%20%10th90th$3Professionalmedian $2 · 10th–90th $2$40%50%90th$2$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
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.69
Typical High
$4.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$4.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$3.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.63
Typical High
$5.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.51
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.24
Typical High
$2.63
United
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$3.55
Typical High
$3.98
United
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.24
Typical High
$3.09
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11