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Montana rates for HCPCS 82415

Chloramphenicol

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $81.47 / $81.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.37 / $24.71 / $37.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $18.07 / $18.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.37 / $21.54 / $37.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $12.67 / $18.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $17.42