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Montana rates for HCPCS 37195

Thrombolysis, cerebral, by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.96 / $958.96 / $958.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.03 / $449.03 / $449.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,290.31 / $1,290.31 / $1,290.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.23 / $1,290.31 / $1,290.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,290.31 / $1,702.06 / $1,702.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.07 / $1,246.74 / $1,850.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.76 / $584.73 / $995.06