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Montana rates for HCPCS J0744

Injection Ciprofloxacin For Intravenous Infusion 200 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $53.82 / $71.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.81 / $3.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $2.40 / $3.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.90 / $2.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $2.40 / $3.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $3.14 / $4.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90