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Montana rates for HCPCS J0636

Injection Calcitriol 0.1 Mcg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.99 / $1.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $2.10 / $2.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $2.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $2.10 / $2.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $1.01 / $1.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99