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New York rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.96 / $35.99 / $72.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.76 / $17.00 / $32.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.04 / $19.04 / $49.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $11.42 / $42.98
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.42 / $19.04 / $19.04
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.90 / $19.04 / $19.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.30 / $38.86 / $194.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.10 / $18.32 / $97.70
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.10 / $27.85 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $11.42 / $34.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.04 / $19.04 / $19.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.78 / $19.04 / $25.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.32 / $56.54 / $92.09
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.57 / $46.82 / $254.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $25.47 / $39.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $10.47 / $27.96
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.90 / $21.90 / $70.13
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.78 / $21.38 / $27.76