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Utah rates for HCPCS 85291

Clotting; factor XIII (fibrin stabilizing), screen solubility

Facilitymedian $60 · 10th–90th $10–$1290%10%20%10th90th$60Professionalmedian $7 · 10th–90th $5–$100%20%10th90th$7$5.0$10.0$20.0$50.0$100.0

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
$10.96 / $60.26 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.08 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $9.55 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.17 / $16.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $39.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.76 / $8.13
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $9.12 / $28.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.12 / $13.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.25 / $12.30