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Montana rates for HCPCS J2440

Injection Papaverine Hcl Up To 60 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.35 / $37.35 / $37.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.46 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.21 / $4.21 / $9.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $38.25 / $38.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.21 / $4.21 / $9.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $4.30 / $46.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $37.50