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Wisconsin rates for HCPCS 85270

Clotting; factor XI (PTA)

Facilitymedian $40 · 10th–90th $16$2690%10%10th90th$40Professionalmedian $17 · 10th–90th $9$710%10%10th90th$17$10.0$20.0$50.0$100.0$200.0$500.0

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
$24.55 / $39.81 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.13 / $20.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $47.86 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $70.79
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $25.70 / $56.23
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $38.90 / $144.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $141.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.79 / $40.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $32.36 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $51.29
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $29.51 / $50.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $45.71 / $173.78
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $141.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $11.75 / $17.38
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $54.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $15.85 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $14.45 / $40.74