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Montana rates for HCPCS 90371

Hepatitis B immune globulin (HBIg), human, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.19 / $158.10 / $312.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.70 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.47 / $163.47 / $342.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.47 / $177.04 / $177.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.47 / $163.47 / $342.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.59 / $145.59 / $189.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.63 / $151.63 / $161.03