go back

South Carolina rates for HCPCS J7204

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

Facilitymedian $3 · 10th–90th $2$100%10%10th90th$3Professionalmedian $2 · 10th–90th $2$30%50%90th$2$2.0$5.0$10.0$20.0

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
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$3.09
Typical High
$9.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$3.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$3.02
Typical High
$5.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.75
Typical High
$3.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.16
Typical High
$5.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.24
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.82
Typical High
$6.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$2.24
Typical High
$3.55
United
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.24
Typical High
$2.82