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Montana rates for HCPCS J0716

Injection Centruroides Immune F(Ab)2 Up To 120 Milligrams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,225.12 / $5,225.12 / $5,225.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,233.65 / $9,885.99 / $27,487.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $5,351.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,233.65 / $9,885.99 / $27,487.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $6,295.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,246.10 / $5,246.10 / $5,246.10