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Montana rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.10 / $21.19 / $56.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.84 / $20.84 / $67.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $20.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.84 / $20.84 / $67.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $20.01 / $26.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44