go back

New Hampshire rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Facilitymedian $58 · 10th–90th $28–$1020%10%20%10th90th$58Professionalmedian $15 · 10th–90th $8–$490%10%10th90th$15$10.0$20.0$50.0$100.0

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
$41.69 / $60.26 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $12.88 / $72.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $31.62 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.72 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $61.66 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $16.98 / $46.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $28.84 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $13.80 / $60.26