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Montana rates for HCPCS 90375

Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $24,547.09 / $24,547.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $389.05 / $389.05
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $302.00 / $851.14
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $302.00 / $851.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $758.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $302.00 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $338.84