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Minnesota rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $46 · 10th–90th $19–$1380%20%10th90th$46Professionalmedian $19 · 10th–90th $15–$300%20%10th90th$19$10.0$20.0$50.0$100.0$200.0$500.0

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
$16.98 / $117.49 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $70.79 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $27.54 / $37.15
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $58.88 / $125.89
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $36.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $47.86 / $269.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.85 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $19.05 / $42.66