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Montana rates for HCPCS 85175

Clot Lysis Time Whole Blood Dilution

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.25 / $48.25 / $48.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.43 / $130.97 / $130.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.30 / $68,099.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.54 / $39.72 / $60.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $29.43 / $29.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.60 / $34.63 / $60.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $18.32 / $29.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $8.56 / $20.37