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Nebraska rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $46 · 10th–90th $17–$3310%10%10th90th$46Professionalmedian $17 · 10th–90th $11–$1260%20%10th90th$17$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
$30.20 / $50.12 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $20.89 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $97.72 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $29.51 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $36.31 / $45.71
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $23.44 / $147.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $11.48 / $20.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $38.90
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $11.48 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.48 / $20.89