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Montana rates for HCPCS 85366

Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $245.47 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $75.86 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $64,565.42 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $138.04 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $93.33 / $117.49
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $100.00 / $245.47
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $100.00 / $245.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $138.04 / $457.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $33.88 / $47.86