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South Dakota rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $36 · 10th–90th $17–$1580%20%10th90th$36Professionalmedian $17 · 10th–90th $12–$510%20%10th90th$17$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
$16.98 / $117.49 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $16.98
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $28.84
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $36.31 / $45.71
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $29.51 / $147.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $13.18 / $26.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $45.71 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $16.98 / $26.30
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05