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Pennsylvania rates for HCPCS 85290

Clotting Factor Xiii Fibrin Stabilizing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $46.65 / $72.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.91 / $14.57 / $26.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.83 / $53.01 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $12.75 / $12.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.74 / $21.76 / $54.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $19.00 / $28.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.52 / $9.64 / $22.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.60 / $34.72 / $68.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $9.80 / $9.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $38.26 / $74.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.76 / $14.64 / $67.48
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.94 / $24.83 / $54.33
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $19.00 / $28.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.34 / $16.34 / $16.34
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $16.34 / $16.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.79 / $9.80 / $27.50