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Oregon rates for HCPCS J7204

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

Facilitymedian $3 · 10th–90th $2–$50%20%10th90th$3Professionalmedian $2 · 10th–90th $2–$30%20%40%10th90th$2$2.0$5.0$10.0$20.0$50.0

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 / $3.24 / $5.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.09 / $4.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $5.62 / $6.03
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.34 / $4.47
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.45 / $3.24
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.57 / $4.57
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $3.24 / $6.46
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.40 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $3.80 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $4.57 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24