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Montana rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.75 / $3.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.69 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.69 / $4.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.69 / $0.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63