go back

Kentucky rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $46 · 10th–90th $19–$2000%10%10th90th$46Professionalmedian $15 · 10th–90th $9–$260%20%10th90th$15$5.0$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
$19.05 / $47.86 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $19.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $19.05 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $26.30
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $26.92
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $36.31 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $57.54 / $97.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $19.05 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $15.85 / $26.30