go back

Montana rates for HCPCS J0570

Buprenorphine implant, 74.2 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,230.27 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,137.96 / $2,630.27
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $4,265.80
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $4,265.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $1,318.26 / $2,630.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96