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Idaho rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $59 · 10th–90th $19–$1020%10%20%10th90th$59Professionalmedian $19 · 10th–90th $15–$370%10%20%10th90th$19$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
$34.67 / $58.88 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $54.95 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $19.05 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $39.81 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $14.45 / $27.54
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $58.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $25.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $38.90 / $69.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $16.22 / $19.95
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.22 / $31.62