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Delaware rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $41 · 10th–90th $19$1230%20%10th90th$41Professionalmedian $16 · 10th–90th $14$580%20%40%10th90th$16$10.0$20.0$50.0$100.0

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 / $40.74 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.85 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $35.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $46.77 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.88 / $26.30