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Montana rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.78 / $13.78 / $40.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $13.64 / $50.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $13.64 / $50.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $14.17 / $18.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06