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New Jersey rates for HCPCS 85280

Clotting; factor XII (Hageman)

Facilitymedian $37 · 10th–90th $19$2040%10%10th90th$37Professionalmedian $17 · 10th–90th $13$370%20%10th90th$17$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
$19.50 / $37.15 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $42.66 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $17.38 / $53.70
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.77 / $21.88
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $17.38 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $19.50 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $11.48 / $28.18