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South Carolina rates for HCPCS 85240

Clotting; factor VIII (AHG), 1-stage

Facilitymedian $100 · 10th–90th $15–$3980%5%10%10th90th$100Professionalmedian $16 · 10th–90th $13–$250%20%10th90th$16$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
$15.49 / $100.00 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $20.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $70.79 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $58.88 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.75 / $25.70
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $18.20 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $17.78 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.72 / $23.99