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Montana rates for HCPCS J7197

Antithrombin III (human), per IU

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $10.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.47
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.98 / $11.48
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.98 / $11.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $10.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.75 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07