go back

Montana rates for HCPCS J7178

Injection, human fibrinogen concentrate, not otherwise specified, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.84 / $1.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $3.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $3.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.64 / $2.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52