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Montana rates for HCPCS J0132

Injection, acetylcysteine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.69 / $137.69 / $137.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.45 / $2.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $3.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $3.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.41 / $0.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39