go back

Wisconsin rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $52 · 10th–90th $18$3720%10%10th90th$52Professionalmedian $19 · 10th–90th $9$1320%10%10th90th$19$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
$26.30 / $52.48 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $18.20 / $190.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $51.29 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $75.86
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $61.66 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $27.54 / $58.88
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $41.69 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $147.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $15.85 / $43.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $37.15 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $54.95
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $30.90 / $53.70
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $48.98 / $165.96
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $147.91
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.59 / $18.62
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $54.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $16.98 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $15.14 / $43.65