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Hawaii rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.71 / $17.80 / $22.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $26.14 / $131.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.12 / $22.85 / $22.85
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.96 / $40.84 / $47.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.04 / $22.85 / $28.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $22.85 / $36.96
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.32 / $34.58 / $47.88