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Montana rates for HCPCS 85400

Fibrinolytic Factors & Inhibitors Plasmin

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $49.58 / $49.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.18 / $15.03 / $22.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.12 / $11.18 / $11.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.18 / $13.11 / $22.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $7.70 / $11.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $12.16