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Montana rates for HCPCS J3246

Injection, tirofiban HCl, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $4.15 / $4.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.05 / $28.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.48 / $4.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.05 / $28.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.77 / $4.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.48 / $3.48