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Washington 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%50%90th$2$2.0$5.0$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 / $3.89 / $4.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.95
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.24 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.75
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $4.57
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.69 / $5.75
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.69 / $2.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.24 / $6.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.24 / $2.24
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.88