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Montana rates for HCPCS J3101

Injection Tenecteplase 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.93 / $187.72 / $338.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.50 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.44 / $185.44 / $381.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $185.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.44 / $185.44 / $381.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $186.84 / $243.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22