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New Hampshire rates for HCPCS J7204

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

Facilitymedian $3 · 10th–90th $2$50%10%20%10th90th$3Professionalmedian $2 · 10th–90th $2$40%20%10th90th$2$2.0$5.0$10.0

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
$2.24
Median
$2.51
Typical High
$4.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$3.31
Typical High
$4.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$4.37
Typical High
$6.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.24
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$3.72
Typical High
$4.27
United
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
United
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$3.39