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Montana rates for HCPCS 85612

Russell viper venom time (includes venom); undiluted

Facilitymedian $23 · 10th–90th $17–$1000%20%10th90th$23Professionalmedian $16 · 10th–90th $12–$600%20%10th90th$16$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $60.26 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $29.51 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $20.42 / $25.12
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $52.48
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $52.48
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $29.51 / $100.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $25.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.41 / $13.49