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North Carolina rates for HCPCS 85246

Clotting; factor VIII, VW factor antigen

Facilitymedian $95 · 10th–90th $21–$5620%5%10%10th90th$95Professionalmedian $21 · 10th–90th $15–$300%20%40%10th90th$21$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$21.38 / $95.50 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $20.89 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $70.79 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $14.79 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $47.86 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $35.48
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $44.67 / $109.65
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $20.89 / $44.67
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $31.62 / $34.67
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $22.91 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $15.85 / $32.36
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80