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Montana rates for HCPCS 85291

Clotting Factor Xiii Fibrn Stabiliz Screen Solub

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.55 / $98.55 / $98.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.48 / $58.58 / $58.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.21 / $68,099.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $12.21 / $12.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.21 / $17.76 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.12 / $12.91 / $13.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.92 / $15.49 / $26.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.89 / $13.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $5.09 / $12.22