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Idaho rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $117.49 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $15.14 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $45.71 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $16.60 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $33.88 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $15.49 / $23.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $33.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.98 / $19.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $33.11 / $58.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $16.98
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.77 / $33.11