go back

New Jersey rates for HCPCS 85246

Clotting; factor VIII, VW factor antigen

Facilitymedian $71 · 10th–90th $23$2690%10%10th90th$71Professionalmedian $20 · 10th–90th $15$270%20%40%10th90th$20$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$22.91 / $70.79 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $20.42 / $26.92
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $213.80 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $50.12 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $20.42 / $64.57
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $10.72 / $25.70
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $20.89 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $22.91 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.80 / $33.11