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Montana rates for HCPCS J0280

Injection, aminophylline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.47 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.59 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $12.59
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $9.33 / $15.49
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $9.33 / $15.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.59 / $21.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $14.79 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47