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Montana rates for HCPCS J0620

Injection, calcium glycerophosphate and calcium lactate, per 10 ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.71 / $12.71 / $12.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.88 / $17.88 / $17.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $8.94 / $17.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.88 / $17.88 / $17.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $16.14 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $15.40 / $15.40