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Maryland rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $151 · 10th–90th $13$1820%20%10th90th$151Professionalmedian $16 · 10th–90th $13$710%20%10th90th$16$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
$56.23 / $169.82 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $15.85 / $74.13
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $15.14 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $13.18 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $18.20 / $46.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $21.88 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.22 / $17.78
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $13.18 / $28.84