J7204

CPT/HCPCS

Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu

Physician Fee Schedule

Office

Medicare Payment

$2.69

Submitted Charge$4.34
Medicare Allowed$3.37
Providers12
Beneficiaries14
Total Services2,044,235