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Montana rates for HCPCS J7181

Injection, Factor XIII A-subunit, (recombinant), per IU

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $22.13 / $22.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.78 / $19.78 / $45.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $18.16 / $19.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.78 / $19.78 / $45.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $19.70 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $18.16 / $18.16