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Wyoming rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.04 / $19.04 / $142.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.26 / $19.04 / $19.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.60 / $19.60 / $23.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.80 / $30.00 / $61.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.38 / $38.38 / $38.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.69 / $21.89 / $27.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $26.60