go back

West Virginia rates for HCPCS J7204

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

Facilitymedian $2 · 10th–90th $2–$20%50%10th$2Professionalmedian $2 · 10th–90th $2–$20%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
$2.00 / $2.24 / $2.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $3.24 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $9.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $3.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.24 / $3.39