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Alaska rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Facilitymedian $15 · 10th–90th $15–$1120%50%90th$15Professionalmedian $15 · 10th–90th $13–$720%20%10th90th$15$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
$70.79 / $117.49 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.05 / $23.99
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $23.99
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $66.07
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $63.10 / $104.71
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $37.15 / $37.15
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.22 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $22.91 / $158.49