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Montana rates for HCPCS J0132

Injection, acetylcysteine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.95 / $1.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.51
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.83 / $3.02
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.83 / $3.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $3.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37