go back

Maryland rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $165.96 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.79 / $60.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $13.18 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $11.22 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.59 / $57.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $17.78 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $7.76 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $9.12 / $14.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $16.22 / $24.55