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Factor VIII (Esperoct) Injection

Ohio 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?

$2.82per IU

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $2.82 for each IU of this drug. The price depends on where it is billed: about $2.34 from a physician practice, and about $4.37 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
$2.34
At a hospital outpatient department
$4.37

The same drug, in the same amount, costs 86% more 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$2.34$2.24 to $2.88
FacilityA hospital or hospital-owned outpatient department$4.37$2.57 to $5.62

How much rates vary

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

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
Facility
Modifier
Global
Typical Low
$2.24
Median
$4.79
Typical High
$6.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.29
Typical High
$4.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$3.63
Typical High
$7.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.63
Typical High
$4.27
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.24
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.68
Typical High
$7.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$3.39
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.68
Typical High
$6.76
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.82
Typical High
$3.24
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.72
Typical High
$5.13
United
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$4.79
United
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.40

Where Ohio 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.

Ohio· 9th of 51

$2.82

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.