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Montana rates for HCPCS 85290

Clotting Factor Xiii Fibrin Stabilizing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.44 / $182.44 / $182.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.79 / $105.07 / $105.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.90 / $21.90 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.90 / $21.90 / $21.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.69 / $31.86 / $48.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.23 / $23.69 / $23.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.69 / $27.78 / $48.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $16.34 / $23.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $22.47