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Oregon rates for HCPCS J7204

Injection Factor Viii Antihemophilic Factor (Recombinant) (Esperoct) Glycopegylated-Exei Per Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.54 / $4.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.25 / $6.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $3.09 / $4.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $4.97 / $5.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $3.17 / $4.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.36 / $2.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $2.68 / $6.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $3.17 / $6.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.58 / $2.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $3.78 / $7.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.22