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Ohio rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $34 · 10th–90th $17$1860%10%10th90th$34Professionalmedian $15 · 10th–90th $9$510%10%20%10th90th$15$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
$17.38 / $37.15 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $70.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $19.95 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.48 / $23.99
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $21.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $22.91 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $12.59 / $36.31
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $21.88 / $181.97
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $11.75 / $20.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $23.44
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $19.95 / $38.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $19.05 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $9.55 / $22.91