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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
$18.20 / $18.20 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $19.95
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $18.20 / $52.48
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $18.20 / $52.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $45.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $26.30 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62