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Pennsylvania rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $51 · 10th–90th $18$1350%10%10th90th$51Professionalmedian $16 · 10th–90th $13$1230%20%10th90th$16$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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 / $51.29 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $125.89
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $89.13 / $416.87
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $134.90 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $28.84 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $24.55 / $46.77
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $19.05 / $27.54
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $21.38 / $33.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $54.95 / $128.82
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $12.59 / $18.62
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $75.86 / $177.83
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $29.51 / $67.61
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $26.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $18.62 / $19.05
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.62 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $19.05 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.59 / $33.11