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Nebraska rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Facilitymedian $43 · 10th–90th $11–$1100%10%10th90th$43Professionalmedian $15 · 10th–90th $10–$1070%10%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
$32.36 / $54.95 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $17.78 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $33.11 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $25.12 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $31.62 / $39.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $32.36 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.77 / $17.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $33.88
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $9.77 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.77 / $17.78