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Virginia rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $34.31 / $93.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.26 / $13.56 / $15.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.34 / $16.34 / $79.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $8.07 / $9.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.98 / $36.64 / $54.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.41 / $39.32 / $83.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.26 / $10.97 / $19.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.61 / $20.43 / $24.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.56 / $14.83 / $15.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $23.85 / $32.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.93 / $19.85 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $19.78 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $7.79 / $22.83