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New York rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $41 · 10th–90th $18$720%10%20%10th90th$41Professionalmedian $15 · 10th–90th $9$410%20%10th90th$15$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$17.78 / $42.66 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.77 / $43.65
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $19.05 / $19.05
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $19.05 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $41.69 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $26.92 / $97.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $24.55 / $66.07
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $13.18 / $37.15
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $19.05 / $27.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $16.22 / $51.29
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $36.31 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $22.91 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $14.13 / $42.66
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $19.05 / $45.71
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $19.95 / $61.66