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South Dakota rates for HCPCS 81238

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

Facilitymedian $1,148 · 10th–90th $562–$1,1480%50%10th$1,148Professionalmedian $562 · 10th–90th $112–$1,4450%20%10th90th$562$200.0$500.0$1.0K$2.0K

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
$562.34 / $562.34 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $467.74 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,148.15 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $676.08 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $3,019.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,412.54 / $1,659.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $363.08 / $794.33
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56