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Montana rates for HCPCS J7197

Antithrombin Iii Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.95 / $9.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.48 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $4.50 / $10.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $4.50 / $10.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.45 / $5.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09