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Montana rates for HCPCS J0715

Injection, ceftizoxime sodium, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $4.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24