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Montana rates for HCPCS 85270

Clotting; factor XI (PTA)

Facilitymedian $27 · 10th–90th $22–$1350%20%10th90th$27Professionalmedian $17 · 10th–90th $13–$660%20%10th90th$17$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $117.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $61.66 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $30.20 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $20.42 / $25.70
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $25.12 / $54.95
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $25.12 / $54.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $30.20 / $102.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.23 / $25.12