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North Carolina rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $63 · 10th–90th $15–$3630%10%10th90th$63Professionalmedian $15 · 10th–90th $12–$250%20%10th90th$15$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
$16.22 / $63.10 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $25.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $13.18 / $13.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $58.88 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $17.38 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $39.81 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.18 / $28.84
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $37.15 / $109.65
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $17.38 / $37.15
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $31.62 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $19.05 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $13.18 / $26.30
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91