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New York rates for HCPCS 85240

Clotting; factor VIII (AHG), 1-stage

Facilitymedian $39 · 10th–90th $15$850%10%20%10th90th$39Professionalmedian $15 · 10th–90th $6$290%20%10th90th$15$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$15.14 / $41.69 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $15.85 / $26.30
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $8.91 / $28.84
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $17.78 / $17.78
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $17.78 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $38.90 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $25.12 / $97.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $23.44 / $48.98
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.59 / $34.67
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $16.98 / $26.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $44.67 / $89.13
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $32.36 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $21.88 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $12.30 / $40.74
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $11.48 / $43.65
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $17.78 / $57.54