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Ohio rates for HCPCS 85270

Clotting; factor XI (PTA)

Facilitymedian $32 · 10th–90th $17$1820%10%10th90th$32Professionalmedian $14 · 10th–90th $9$280%10%10th90th$14$5.0$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
$16.60 / $36.31 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $42.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $19.05 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $22.91
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $20.42
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $21.38 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.75 / $33.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $18.62 / $38.02
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $11.22 / $25.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $16.22 / $22.39
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $18.62 / $36.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $17.78 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $8.91 / $21.38