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Georgia rates for HCPCS 85240

Clotting; factor VIII (AHG), 1-stage

Facilitymedian $30 · 10th–90th $16–$2090%10%10th90th$30Professionalmedian $15 · 10th–90th $11–$360%10%20%10th90th$15$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
$16.22 / $33.88 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.49 / $38.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.96 / $25.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $23.99 / $32.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $13.80 / $36.31
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $35.48 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $20.42 / $38.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $25.70 / $64.57
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $16.22 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $12.02 / $31.62