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New Jersey rates for HCPCS J7204

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

Facilitymedian $3 · 10th–90th $3–$140%20%10th90th$3Professionalmedian $2 · 10th–90th $2–$30%50%90th$2$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$2.88 / $3.39 / $6.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.63 / $3.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $3.39
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $9,549.93 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $2.63 / $4.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.24 / $2.57