go back

New Jersey rates for HCPCS 85270

Clotting; factor XI (PTA)

Facilitymedian $35 · 10th–90th $17$1510%10%20%10th90th$35Professionalmedian $15 · 10th–90th $13$350%20%40%10th90th$15$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$17.78 / $34.67 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $34.67
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $117.49 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $39.81 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.85 / $50.12
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $20.42
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $16.22 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $17.78 / $37.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $10.72 / $26.30