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New Mexico rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Facilitymedian $54 · 10th–90th $15–$1580%10%20%10th90th$54Professionalmedian $15 · 10th–90th $10–$250%20%10th90th$15$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$24.55 / $52.48 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $23.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $104.71 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $13.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $23.99 / $35.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $19.50 / $28.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $25.12 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $14.79 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $9.55 / $10.00