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Montana rates for HCPCS J0153

Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.84 / $47.88 / $371.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $1.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.56 / $0.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $1.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.60 / $0.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56