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Montana rates for HCPCS J7180

Injection, Factor XIII (antihemophilic factor, human), 1 IU

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.89 / $13.04 / $13.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.59 / $11.59 / $25.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.76 / $10.76 / $11.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.59 / $11.59 / $25.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.76 / $11.67 / $15.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.76 / $10.76 / $10.76