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Montana rates for HCPCS 36456

Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.45 / $104.81 / $537.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.90 / $150.90 / $150.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.58 / $150.90 / $299.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.73 / $143.65 / $166.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.88 / $179.38 / $258.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.57 / $172.87 / $203.95