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New York rates for HCPCS 85246

Clotting; factor VIII, VW factor antigen

Facilitymedian $49 · 10th–90th $19$1020%10%10th90th$49Professionalmedian $20 · 10th–90th $6$350%20%10th90th$20$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$19.50 / $48.98 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $20.42 / $33.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $11.22 / $37.15
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $22.91 / $22.91
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $22.91 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $50.12 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $33.11 / $151.36
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $27.54 / $63.10
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $16.22 / $44.67
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $21.88 / $30.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $57.54 / $107.15
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $41.69 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $27.54 / $37.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.80 / $51.29
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $11.48 / $54.95
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $22.91 / $74.13