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Delaware rates for HCPCS 85240

Clotting; factor VIII (AHG), 1-stage

Facilitymedian $87 · 10th–90th $19–$6460%10%10th90th$87Professionalmedian $15 · 10th–90th $13–$540%20%40%10th90th$15$10.0$20.0$50.0$100.0$200.0$500.0

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
$18.62 / $87.10 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.88 / $33.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $54.95 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $15.14 / $25.12