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Montana rates for HCPCS 80369

Skeletal muscle relaxants; 1 or 2

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.28 / $77.38 / $149.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $22.30 / $27.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.28 / $77.38 / $149.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.65 / $32.08 / $44.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $10.16 / $24.18