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Montana rates for HCPCS 85366

Fibrin Dgradj Splt Produxs Paracoagj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.43 / $245.70 / $347.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.53 / $517.36 / $517.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.82 / $68,099.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.82 / $107.82 / $107.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.67 / $156.90 / $237.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $115.64 / $116.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.51 / $136.78 / $237.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.41 / $72.41 / $116.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.93 / $33.79 / $80.45