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Delaware rates for HCPCS 85280

Clotting; factor XII (Hageman)

Facilitymedian $42 · 10th–90th $22–$4370%20%40%10th90th$42Professionalmedian $16 · 10th–90th $15–$580%20%10th90th$16$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
$22.39 / $41.69 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.85 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $36.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $12.88 / $26.92