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Montana rates for HCPCS 85291

Clotting; factor XIII (fibrin stabilizing), screen solubility

Facilitymedian $15 · 10th–90th $11–$980%20%10th90th$15Professionalmedian $8 · 10th–90th $6–$340%20%10th90th$8$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $60.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $64,565.42 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $15.49 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $10.23 / $13.18
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $12.59 / $28.18
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.59 / $28.18
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $52.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $13.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.13 / $12.30