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Maine rates for HCPCS 85240

Clotting; factor VIII (AHG), 1-stage

Facilitymedian $65 · 10th–90th $18–$3090%10%10th90th$65Professionalmedian $17 · 10th–90th $13–$2340%10%20%10th90th$17$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
$17.78 / $64.57 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $239.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $165.96 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.23 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $25.12 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $18.20 / $25.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $17.78 / $21.88
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $23.44
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.13 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $17.78 / $36.31