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Massachusetts rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $56 · 10th–90th $19$2040%10%10th90th$56Professionalmedian $19 · 10th–90th $14$660%20%40%10th90th$19$10.0$50.0$200.0$1.0K$5.0K$20.0K

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 / $56.23 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $18.20 / $85.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $26.92 / $147.91
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $19.05 / $46.77
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $46.77 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $30.20 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $21.88 / $50.12
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $151.36 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $32.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $52.48
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $24.55 / $83.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $26.92 / $147.91
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $19.05 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $19.05 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $15.85 / $51.29