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Montana rates for HCPCS J0561

Injection, penicillin G benzathine, 100,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,795.28 / $1,795.28 / $1,795.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.30 / $33.34 / $476.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.48 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.56 / $30.81 / $44.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.01 / $30.01 / $30.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.56 / $30.81 / $44.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.24 / $32.56 / $42.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.01 / $30.01 / $30.01