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New Mexico rates for HCPCS J7204

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

Facilitymedian $3 · 10th–90th $2$60%20%10th90th$3Professionalmedian $2 · 10th–90th $2$30%50%90th$2$2.0$5.0

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
$2.45 / $3.47 / $6.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $4.47
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.24 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.24 / $2.24