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Montana rates for HCPCS 86950

Leukocyte transfusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.85 / $45.95 / $88.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.38 / $133.88 / $487.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.69 / $55.96 / $207.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.71 / $69.08 / $136.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.81 / $107.74 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.29 / $33.20 / $33.20