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Montana rates for HCPCS J0697

Sterile Cefuroxime Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $9.11 / $9.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.91 / $2.77
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
$2.29 / $2.29 / $6.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $6.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.00 / $2.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85