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Utah rates for HCPCS 85250

Clotting Factor Ix Ptc/Christmas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.12 / $126.63 / $172.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $17.00 / $24.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.28 / $16.73 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $21.89 / $27.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.04 / $21.90 / $85.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $15.46 / $21.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $11.26 / $11.42