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Montana rates for HCPCS J2993

Injection, reteplase, 18.1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,008.95 / $3,008.95 / $3,008.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.19 / $1,787.19 / $3,925.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.19 / $3,081.45 / $3,081.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.19 / $1,787.19 / $3,925.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.34 / $1,832.74 / $3,625.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,021.04 / $3,021.04 / $3,021.04