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Delaware rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.04 / $40.60 / $123.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $15.80 / $15.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.38 / $12.38 / $12.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.68 / $21.89 / $35.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.04 / $50.65 / $89.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $11.42 / $26.60