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Washington rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $38 · 10th–90th $19$2950%10%10th90th$38Professionalmedian $17 · 10th–90th $12$300%10%20%10th90th$17$10.0$20.0$50.0$100.0$200.0$500.0

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
$24.55 / $58.88 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $38.02
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $40.74 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $19.95 / $30.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $16.60 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $38.02
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $38.02
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $33.11 / $52.48
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $22.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $28.84 / $50.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $22.91 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.96 / $23.99
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $9.77 / $33.88