go back

Illinois rates for HCPCS 85240

Clotting; factor VIII (AHG), 1-stage

Facilitymedian $54 · 10th–90th $21–$4070%5%10th90th$54Professionalmedian $16 · 10th–90th $10–$480%10%20%10th90th$16$5.0$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
$22.91 / $58.88 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.96 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $47.86 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $12.30 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $41.69 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $20.42 / $32.36
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $34.67 / $295.12
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $17.78 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $11.75 / $21.38