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Maryland rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.14 / $98.20 / $177.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $12.26 / $20.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $11.97 / $14.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.66 / $11.31 / $21.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $17.36 / $26.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $20.43 / $24.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $9.48 / $13.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.37 / $8.17 / $16.04