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Montana rates for HCPCS P9043

Infusion Plasma Protein Fraction (Human) 5% 50 Ml (Special Coverage Instructions Apply. See Mcm: 2455b)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.43 / $22.43 / $22.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.08 / $36.71 / $93.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $22.97 / $22.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.08 / $36.71 / $93.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.72 / $22.65 / $27.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $22.52 / $22.52