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Illinois rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $44 · 10th–90th $19–$1740%5%10th90th$44Professionalmedian $15 · 10th–90th $3–$440%20%10th90th$15$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
$19.50 / $43.65 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $50.12 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $13.18 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $44.67 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $21.88 / $34.67
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $37.15 / $251.19
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $19.05 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.75 / $19.05