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Colorado rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $76 · 10th–90th $19–$3310%10%10th90th$76Professionalmedian $15 · 10th–90th $11–$270%20%10th90th$15$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
$18.62 / $87.10 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $54.95 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $13.49 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.30 / $22.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $239.88 / $239.88
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $19.05 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.22 / $19.05