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Nevada rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $36 · 10th–90th $14–$1020%10%10th90th$36Professionalmedian $17 · 10th–90th $13–$1260%20%10th90th$17$0.5$2.0$10.0$50.0$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
$17.78 / $37.15 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $15.85 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.48 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $22.39 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $28.18
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.25 / $19.05 / $30.90
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $13.18 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $20.89 / $33.88