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California rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $83.18 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $16.22 / $107.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $38.02 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $14.13 / $47.86
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $85.11 / $218.78
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $18.62 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $27.54 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $16.60 / $26.92
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $16.22 / $26.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.22 / $36.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $128.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $19.50 / $19.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $19.50 / $52.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $15.14 / $37.15
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.60 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $11.22 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.77 / $32.36