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Montana rates for HCPCS 90283

Immune globulin (IgIV), human, for intravenous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.62 / $196.62 / $196.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.45 / $75.84 / $75.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.29 / $83.29 / $83.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.29 / $83.29 / $85.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.04 / $84.04 / $89.24