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South Carolina rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $79 · 10th–90th $17–$3390%10%10th90th$79Professionalmedian $15 · 10th–90th $14–$290%50%10th90th$15$10.0$20.0$50.0$100.0$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
$16.60 / $79.43 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $79.43 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $63.10 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $12.30 / $27.54
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $18.20 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $19.05 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.96 / $22.91