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Montana rates for HCPCS J0587

Injection, rimabotulinumtoxinB, 100 units

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.41 / $14.76 / $31.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.28 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $14.82 / $35.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $13.29 / $14.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $14.82 / $35.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $14.42 / $18.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $13.29 / $13.29