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Montana rates for HCPCS 85415

Fbrnlyc Factors&Inhibitors Plsmng Activator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.44 / $182.44 / $182.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $19.77 / $110.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.03 / $23.03 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.03 / $23.03 / $23.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.93 / $33.52 / $50.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $24.78 / $24.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.93 / $29.22 / $50.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.47 / $17.19 / $24.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $7.43 / $29.43