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Pennsylvania rates for HCPCS C9250

Human plasma fibrin sealant, vapor-heated, solvent-detergent (Artiss), 2 ml

Facilitymedian $240 · 10th–90th $148–$1,0470%20%10th90th$240Professionalmedian $182 · 10th–90th $178–$1860%50%10th90th$182$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$186.21 / $239.88 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $181.97 / $186.21
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $3,890.45 / $8,317.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $208.93 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $398.11
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $3,890.45 / $8,317.64
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $1,047.13
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $181.97 / $186.21
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21