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Iowa rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $37 · 10th–90th $15–$810%10%10th90th$37Professionalmedian $18 · 10th–90th $12–$1260%10%10th90th$18$10.0$20.0$50.0$100.0$200.0

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
$14.13 / $44.67 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $18.20 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $36.31 / $45.71
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $33.11 / $169.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $24.55 / $52.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $21.38 / $47.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $23.44 / $24.55
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $43.65
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $19.05