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Montana rates for HCPCS 85475

Hemolysin, acid

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $57.03 / $57.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.86 / $17.30 / $26.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.12 / $12.39 / $12.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.86 / $15.08 / $26.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $8.86 / $12.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $3.83 / $12.20