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Montana rates for HCPCS J0583

Injection, bivalirudin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.96 / $411.96 / $411.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.21 / $1.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.17 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.17 / $2.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.18 / $0.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17