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Factor VIII (Esperoct) Injection

Wisconsin rates for HCPCS J7204

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

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $2$70%20%10th90th$3Professionalmedian $2 · 10th–90th $2$60%50%90th$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
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$4.47
Typical High
$6.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.29
Typical High
$6.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$5.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$5.50
Typical High
$9.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$3.02
Typical High
$4.17
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$5.01
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.47
Typical High
$4.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$5.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$3.63
Molina
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$2.19
Typical High
$2.19
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$5.01
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.47
Typical High
$4.47
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.57
Typical High
$7.76
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$6.76
Typical High
$85.11
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.51
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$3.80
United
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$5.25
United
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$3.16