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Florida rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $56 · 10th–90th $16–$1450%5%10%10th90th$56Professionalmedian $16 · 10th–90th $13–$280%20%10th90th$16$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$15.85 / $57.54 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.85 / $28.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.75
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $22.39
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $23.44 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $19.50 / $38.02
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $81.28 / $177.83
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $26.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $9.12 / $11.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $15.49 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $11.22 / $26.30
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $19.05