go back

Montana rates for HCPCS 85250

Clotting Factor Ix Ptc/Christmas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.75 / $123.75 / $132.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.90 / $122.43 / $122.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.51 / $25.51 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.51 / $25.51 / $25.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.61 / $37.13 / $56.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $27.36 / $27.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.61 / $32.36 / $56.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $19.04 / $27.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.23 / $26.17