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Missouri rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $33 · 10th–90th $17–$1580%10%20%10th90th$33Professionalmedian $16 · 10th–90th $10–$380%10%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
$16.60 / $33.11 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $43.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $14.45 / $39.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $36.31 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $35.48 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $18.20 / $48.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $33.11 / $147.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.48 / $23.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $19.05 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.48 / $22.91