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Montana rates for HCPCS J7194

Factor IX complex, per IU

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.06 / $3.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $4.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $4.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.84 / $2.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70