go back

Montana rates for HCPCS C9250

Human plasma fibrin sealant, vapor-heated, solvent-detergent (Artiss), 2 ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.54 / $183.16 / $183.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $79,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.57 / $187.57 / $187.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.57 / $187.57 / $201.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.11 / $284.20 / $292.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.57 / $281.02 / $292.74