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Montana rates for HCPCS J0690

Injection, cefazolin sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.68 / $77.52 / $384.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.87 / $3.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $2.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $2.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.86 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80