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Rhode Island rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $58 · 10th–90th $23–$1200%20%10th90th$58Professionalmedian $18 · 10th–90th $11–$280%20%40%10th90th$18$10.0$20.0$50.0$100.0

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
$57.54 / $75.86 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $18.20 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $23.44 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $10.72 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $45.71 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $20.89 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $15.85 / $38.02