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Tennessee rates for HCPCS 85240

Clotting; factor VIII (AHG), 1-stage

Facilitymedian $65 · 10th–90th $13–$2880%5%10%10th90th$65Professionalmedian $15 · 10th–90th $13–$280%20%10th90th$15$5.0$10.0$20.0$50.0$100.0$200.0

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
$14.13 / $66.07 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $32.36
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $24.55 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $39.81 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $13.80 / $27.54
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $17.78 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $14.45 / $25.12