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Montana rates for HCPCS J2724

Inejction Protein C Concentrate Intravenous Human 10 Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.50 / $49.50 / $49.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $18.19 / $39.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $17.14 / $44.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $15.04 / $17.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $17.14 / $44.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $16.32 / $21.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $15.04 / $15.04