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Montana rates for HCPCS J0210

Methyldopate Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.84 / $39.84 / $39.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.25 / $15.25 / $33.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.25 / $42.40 / $42.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.25 / $15.25 / $33.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $15.25 / $42.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00