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Montana rates for HCPCS 85301

Clotting inhibitors or anticoagulants; antithrombin III, antigen assay

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.16 / $28.16 / $209.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.42 / $12.43 / $69.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.49 / $14.49 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.49 / $14.49 / $14.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.67 / $21.08 / $31.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $15.49 / $15.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.67 / $18.38 / $31.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.73 / $9.73 / $15.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $4.54 / $14.86