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Montana rates for HCPCS 85175

Clot lysis time, whole blood dilution

Facilitymedian $28 · 10th–90th $8–$710%20%10th90th$28Professionalmedian $19 · 10th–90th $14–$1350%20%10th90th$19$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$47.86 / $47.86 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $34.67 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $23.44 / $29.51
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $25.70 / $61.66
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $25.70 / $61.66
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $34.67 / $114.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $29.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $8.51 / $12.30