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Hawaii rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $19 · 10th–90th $16–$230%20%40%10th90th$19Professionalmedian $28 · 10th–90th $14–$470%10%10th90th$28$10.0$20.0$50.0

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 / $19.05 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $22.91
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $42.66 / $46.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $26.30 / $37.15
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $34.67 / $47.86