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Montana rates for HCPCS J0570

Buprenorphine implant, 74.2 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.55 / $1,232.55 / $1,232.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.29 / $2,159.33 / $2,603.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.89 / $1,311.75 / $2,603.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,673.90 / $1,673.90 / $2,047.01