go back

Connecticut rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $32 · 10th–90th $19–$600%10%20%10th90th$32Professionalmedian $17 · 10th–90th $13–$510%20%10th90th$17$10.0$20.0$50.0$100.0$200.0

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
$19.05 / $32.36 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $70.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $30.20 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.75 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $30.20 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $21.88 / $30.90
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $19.05 / $28.18
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $17.78 / $33.11