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Maine rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $28 · 10th–90th $19–$1700%20%10th90th$28Professionalmedian $18 · 10th–90th $14–$2880%20%10th90th$18$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 / $19.05 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $18.20 / $288.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $177.83 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.96 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $26.92 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $19.50 / $27.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $19.05 / $22.91
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $19.05 / $38.90