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North Carolina rates for HCPCS 85280

Clotting; factor XII (Hageman)

Facilitymedian $59 · 10th–90th $15–$2090%10%10th90th$59Professionalmedian $16 · 10th–90th $12–$260%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
$15.49 / $58.88 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $22.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $12.88 / $13.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $43.65 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $12.59 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $40.74 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.49 / $29.51
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $37.15 / $114.82
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $17.38 / $38.02
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $31.62 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $19.50 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $13.49 / $26.92
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49