go back

Montana rates for HCPCS J0365

Injection, aprotinin, 10,000 kiu

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $2.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.21 / $4.21 / $9.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $4.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.21 / $4.21 / $9.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $4.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65