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Pennsylvania rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.17 / $66.64 / $270.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $17.25 / $34.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.98 / $124.64 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $14.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.51 / $25.36 / $63.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.96 / $21.89 / $33.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $15.23 / $25.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.34 / $56.89 / $129.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $14.96 / $18.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.18 / $52.12 / $247.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $17.26 / $78.64
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.75 / $28.92 / $63.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.96 / $21.89 / $33.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.04 / $19.04 / $19.04
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.76 / $19.04 / $27.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $11.67 / $33.13