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Montana rates for HCPCS J0630

Calcitonin Salmon Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.80 / $796.80 / $7,438.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,504.88 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.06 / $1,339.06 / $8,367.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.00 / $816.00 / $1,339.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.06 / $1,339.06 / $8,367.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.00 / $2,877.96 / $4,230.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.00 / $800.00 / $800.00