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Ohio rates for HCPCS J7204

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

Facilitymedian $4 · 10th–90th $2–$60%10%20%10th90th$4Professionalmedian $2 · 10th–90th $2–$40%50%90th$2$0.0$0.1$0.5$2.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $3.80 / $6.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.63 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.69 / $4.27
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.68 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.24
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $4.07
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.75 / $3.24
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.72 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $4.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.24 / $2.40