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Montana rates for HCPCS J0330

Injection, succinylcholine chloride, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $70.79 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.62 / $2.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.05 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $1.05
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.15 / $1.17
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.15 / $1.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.05 / $2.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $60.26 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.85