go back

Wisconsin rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Facilitymedian $44 · 10th–90th $15$3470%10%10th90th$44Professionalmedian $15 · 10th–90th $8$680%10%10th90th$15$10.0$20.0$50.0$100.0$200.0$500.0

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
$22.39 / $44.67 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $64.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $43.65 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $66.07
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $52.48 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $51.29
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $35.48 / $131.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.49 / $37.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $32.36 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $46.77
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $26.92 / $46.77
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $41.69 / $173.78
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $128.82
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.72 / $15.85
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $34.67
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $47.86 / $91.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $14.45 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $13.18 / $37.15