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Montana rates for HCPCS J2998

Injection Plasminogen Human-Tvmh 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.13 / $36.13 / $36.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.35 / $34.35 / $34.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.71 / $40.71 / $40.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.35 / $34.35 / $34.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.59 / $39.59 / $40.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $39.90 / $39.90