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New Mexico rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $63 · 10th–90th $21–$2290%10%10th90th$63Professionalmedian $15 · 10th–90th $12–$280%20%40%10th90th$15$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$57.54 / $63.10 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $123.03 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.49 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $27.54 / $41.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $22.91 / $33.11
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $29.51 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $16.98 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.22 / $11.75