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Montana rates for HCPCS 85291

Clotting; factor XIII (fibrin stabilizing), screen solubility

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $60.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $64,565.42 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $15.49 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $10.23 / $13.18
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $12.59 / $28.18
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $12.59 / $28.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $15.49 / $52.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $12.30