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North Carolina rates for HCPCS 85260

Clotting; factor X (Stuart-Prower)

Facilitymedian $56 · 10th–90th $16–$2570%10%20%10th90th$56Professionalmedian $15 · 10th–90th $11–$230%10%20%10th90th$15$10.0$20.0$50.0$100.0$200.0

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
$15.85 / $60.26 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $22.39
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $12.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $56.23 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $16.22 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $37.15 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.30 / $26.92
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $34.67 / $114.82
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $16.22 / $34.67
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $31.62 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $17.78 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $12.59 / $25.12
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54