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Montana rates for HCPCS J0775

Collagenase, Clost Hist Inj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.90 / $76.65 / $5,906.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.62 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.76 / $83.76 / $149.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $83.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.76 / $83.76 / $149.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $82.35 / $107.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $75.91