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Pennsylvania rates for HCPCS 85270

Clotting; factor XI (PTA)

Facilitymedian $47 · 10th–90th $15$1350%10%20%10th90th$47Professionalmedian $15 · 10th–90th $12$320%20%40%10th90th$15$2.0$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
$15.14 / $46.77 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.13 / $32.36
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $87.10 / $645.65
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $125.89 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $27.54 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $22.91 / $43.65
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $17.78 / $25.70
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $19.95 / $30.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $41.69 / $128.82
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $16.98
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $74.13 / $173.78
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $27.54 / $61.66
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $30.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $21.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $17.78 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $11.75 / $30.90