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Maryland rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $116.29 / $182.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $14.28 / $17.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $17.57 / $28.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $13.17 / $24.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $20.23 / $30.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.04 / $23.80 / $28.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $11.33 / $14.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $9.52 / $18.69