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Montana rates for HCPCS 85300

Clotting Inhibitors Antithrombin Iii Activity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.34 / $58.11 / $180.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.67 / $13.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.88 / $15.88 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.88 / $15.88 / $15.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.18 / $23.11 / $35.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $17.04 / $17.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.18 / $20.14 / $35.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.67 / $10.67 / $17.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $5.12 / $16.29