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Montana rates for HCPCS J0884

Injection, argatroban, 1 mg (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.82 / $1.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $3.54 / $3.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80