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Montana rates for HCPCS J0282

Injection Amiodarone Hydrochloride 30 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.16 / $21.60 / $233.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.62 / $0.62
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
$0.38 / $0.38 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.43 / $0.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $2.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.46 / $0.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43