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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
$47.86 / $47.86 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $64,565.42 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $34.67 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $23.44 / $29.51
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $25.70 / $61.66
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $25.70 / $61.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $34.67 / $114.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $29.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $8.51 / $12.30