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Wyoming rates for HCPCS J7204

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

Facilitymedian $4 · 10th–90th $2–$80%20%10th90th$4Professionalmedian $3 · 10th–90th $2–$30%50%10th90th$3$2.0$5.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.24 / $2.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.39 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $3.16 / $3.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $4.27 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.24 / $2.24