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Montana rates for HCPCS 37211

Thrombolysis Arterial Infusion Icra Rs&I Init Tx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.22 / $363.31 / $423.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.10 / $593.10 / $593.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.10 / $593.10 / $593.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.27 / $593.10 / $593.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.10 / $593.10 / $593.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.94 / $532.27 / $787.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.45 / $673.21 / $1,039.69