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Tennessee rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $15.49 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $21.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $16.22 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $38.90 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $12.59 / $24.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $13.80 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.77 / $17.78