go back

West Virginia rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.17 / $373.50 / $391.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $15.61 / $22.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.94 / $25.70 / $28.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.85 / $22.85 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.48 / $36.02 / $57.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $27.36 / $97.70
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.78 / $315.83 / $542.71
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $11.42 / $11.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $11.17 / $15.96