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Montana rates for HCPCS 86965

Pooling of platelets or other blood products

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $19.79 / $37.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.10 / $57.47 / $209.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.06 / $17.52 / $88.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.16 / $27.84 / $58.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.73 / $46.10 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $14.25 / $14.25