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New Hampshire rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.66 / $69.48 / $199.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $21.71 / $21.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.32 / $36.86 / $86.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.62 / $12.37 / $14.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.45 / $95.95 / $128.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.83 / $13.68 / $27.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.84 / $33.84 / $69.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $11.42 / $52.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $22.57 / $30.64