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Nationwide rates for HCPCS 81238

F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence

Facilitymedian $1,000 · 10th–90th $501–$2,7540%10%10th90th$1,000Professionalmedian $490 · 10th–90th $316–$1,0000%20%10th90th$490$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$501.19 / $1,047.13 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $489.78 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $812.83 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $363.08 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $1,202.26 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $676.08 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $602.56 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $363.08 / $851.14

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