go back

Pennsylvania rates for HCPCS C9250

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.57 / $187.57 / $1,615.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.54 / $187.57 / $187.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $967.00 / $967.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.94 / $187.57 / $259.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.57 / $187.57 / $187.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.16 / $149.16 / $175.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.28 / $287.75 / $358.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.56 / $238.21 / $1,615.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.54 / $187.57 / $187.57
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.22 / $187.57 / $227.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.57 / $187.57 / $187.57