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Texas rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $59 · 10th–90th $16$2820%5%10th90th$59Professionalmedian $14 · 10th–90th $10$280%10%20%10th90th$14$2.0$10.0$50.0$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
$14.45 / $79.43 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $27.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.55 / $11.75
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $64.57 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.47 / $18.20
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $29.51 / $125.89
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $41.69 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.79 / $32.36
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $19.05 / $165.96
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $16.98 / $33.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.85 / $15.85
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $57.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.79 / $31.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $19.05 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.96 / $19.05
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.77 / $13.18