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Montana rates for HCPCS J0712

Injection Ceftaroline Fosamil 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $5.13 / $8.69
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
$4.55 / $4.55 / $9.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $4.55 / $9.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.59 / $5.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.23