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Missouri rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.61 / $33.24 / $159.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $16.55 / $18.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.04 / $19.98 / $87.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $13.97 / $42.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $39.95 / $106.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $19.32 / $28.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $31.19 / $148.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $11.69 / $23.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $11.42 / $26.60