Factor VIII (Esperoct) Injection

West Virginia rates for HCPCS J7204

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

Rates data updated July 2026.

How much does Factor VIII (Esperoct) Injection cost?

$2.24per IU

Typical negotiated rate. In West Virginia, July 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 $2.24 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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: $2.24

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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 3 insurance carriers under federal price transparency rules.

Where it's billed changes the price

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 $2.24
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$2.24	$2.24 to $2.24

How much rates vary

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

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Facility Modifier Global Typical Low $2.24 Median $2.24 Typical High $2.24	Facility	Global	$2.24	$2.24	$2.24
Aetna Setting Professional Modifier Global Typical Low $2.24 Median $2.24 Typical High $2.24	Professional	Global	$2.24	$2.24	$2.24
Cigna Setting Facility Modifier Global Typical Low $2.24 Median $2.95 Typical High $4.17	Facility	Global	$2.24	$2.95	$4.17
Cigna Setting Professional Modifier Global Typical Low $2.24 Median $2.24 Typical High $9.33	Professional	Global	$2.24	$2.24	$9.33
United Setting Facility Modifier Global Typical Low $2.24 Median $2.24 Typical High $3.72	Facility	Global	$2.24	$2.24	$3.72
United Setting Professional Modifier Global Typical Low $2.19 Median $2.24 Typical High $3.39	Professional	Global	$2.19	$2.24	$3.39

Where West Virginia sits

The same service costs 2.3 times more in Delaware than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $2.24 · 41st of 51

DE $5.25VT $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.