Factor VIII (Esperoct) Injection

Rhode Island rates for HCPCS J7204

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

Rates data updated October 2026.

How much does Esperoct cost?

$2.24per IU

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $2.24 for each IU of this drug. The price depends on where it is billed: about $2.24 from a physician practice, and about $2.29 from a hospital or other facility.

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.

Amount givenIU

In a doctor's office or clinic: $2.24
At a hospital outpatient department: $2.29

The same drug, in the same amount, costs 2% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$2.24	$2.24 to $2.40
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$2.29	$2.24 to $2.88

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $3Professionalmedian $2 · 10th to 90th $2 to $2

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40	Professional	None	$2.40	$2.40	$2.40
BCBS Rhode Island Setting Facility Modifier None Typical Low $2.24 Median $2.24 Typical High $2.88	Facility	None	$2.24	$2.24	$2.88
BCBS Rhode Island Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24	Professional	None	$2.24	$2.24	$2.24
Cigna Setting Facility Modifier None Typical Low $2.29 Median $2.95 Typical High $4.68	Facility	None	$2.29	$2.95	$4.68
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29	Professional	None	$2.29	$2.29	$2.29
United Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29	Facility	None	$2.29	$2.29	$2.29
United Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24	Professional	None	$2.24	$2.24	$2.24

Where Rhode Island sits

The same service costs 1.9 times more in Alaska than in Rhode Island. 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.

Rhode Island· 51st of 51

$2.24

AK $4.17RI $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.