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Montana rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $34.20 / $115.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.85 / $11.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.58 / $68,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.00 / $801.00 / $801.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.33 / $18.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $3.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.44 / $9.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $3.56 / $4.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81