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Montana rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $4.68 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $4.68
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $5.13 / $5.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $5.13 / $5.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $4.68 / $10.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $5.75 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00