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Virginia rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $36 · 10th–90th $18$2340%10%20%10th90th$36Professionalmedian $14 · 10th–90th $9$360%20%10th90th$14$10.0$50.0$200.0$1.0K$5.0K

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
$17.78 / $50.12 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $35.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $14.45
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $89.13 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $46.77 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.13 / $33.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $28.18
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $31.62 / $37.15
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $17.38 / $17.78
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $28.18 / $39.81
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $32.36 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $32.36 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $19.05 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.48 / $19.95