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Wisconsin rates for HCPCS 85240

Clotting; factor VIII (AHG), 1-stage

Facilitymedian $107 · 10th–90th $21$3470%5%10%10th90th$107Professionalmedian $16 · 10th–90th $9$810%20%10th90th$16$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
$36.31 / $190.55 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $81.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $47.86 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $60.26
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $25.70 / $56.23
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $34.67 / $56.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $21.38 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $10.72 / $27.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $26.92 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $21.38 / $27.54
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $18.20 / $50.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $45.71 / $158.49
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $158.49
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $11.75 / $17.38
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $54.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $54.95 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $15.85 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $10.72 / $29.51