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South Carolina rates for HCPCS 81238

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

Facilitymedian $1,122 · 10th–90th $417–$2,8180%10%10th90th$1,122Professionalmedian $479 · 10th–90th $302–$7240%20%40%10th90th$479$10.0$50.0$200.0$1.0K

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
$416.87 / $1,288.25 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $478.63 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $602.56 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,949.84 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $281.84 / $794.33
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $537.03 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $602.56 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $363.08 / $602.56