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New York rates for HCPCS 85270

Clotting; factor XI (PTA)

Facilitymedian $35 · 10th–90th $18$620%20%10th90th$35Professionalmedian $14 · 10th–90th $9$400%20%10th90th$14$10.0$50.0$200.0$1.0K$5.0K$20.0K

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 / $38.90 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.13 / $31.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $9.33 / $41.69
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $17.78 / $17.78
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $17.78 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $38.90 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $25.12 / $95.50
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $23.44 / $64.57
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.59 / $34.67
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $17.78 / $26.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $48.98
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $33.88 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $21.88 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $13.49 / $42.66
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $17.78 / $43.65
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.62 / $57.54