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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
$12.26 / $22.68 / $52.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.26 / $13.07 / $15.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $8.17 / $8.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $16.38 / $18.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.83 / $35.04 / $63.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $12.57 / $23.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.90 / $102.67 / $129.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $9.80 / $20.55