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Ohio rates for HCPCS 85240

Clotting; factor VIII (AHG), 1-stage

Facilitymedian $37 · 10th–90th $16$2400%10%10th90th$37Professionalmedian $16 · 10th–90th $9$1150%10%20%10th90th$16$5.0$20.0$100.0$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
$16.22 / $42.66 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $162.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $19.05 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $22.91
Aultcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $20.42
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $17.78 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $21.38 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.75 / $33.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $45.71 / $181.97
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $11.22 / $33.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $16.22 / $22.39
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $18.62 / $36.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $17.78 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $10.72 / $23.99