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Montana rates for HCPCS J0360

Injection, hydralazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.43 / $23.18 / $187.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $6.28 / $8.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.70 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $5.01 / $8.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.60 / $5.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $5.01 / $8.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.07 / $7.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60