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Montana rates for HCPCS J0364

Injection, apomorphine HCl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.58 / $34.58 / $34.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.73 / $4.73 / $10.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $35.40 / $35.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.73 / $4.73 / $10.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $4.84 / $41.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $34.72 / $34.72