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Montana rates for HCPCS J7175

Injection, Factor X, (human), 1 IU

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.01 / $11.99 / $11.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.41 / $10.41 / $23.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $10.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.41 / $10.41 / $23.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $10.60 / $13.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77