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Montana rates for HCPCS J0735

Injection, clonidine HCl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.67 / $18.67 / $18.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.35 / $21.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.30 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.48 / $18.48 / $52.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.48 / $18.48 / $52.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $19.71 / $25.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17