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Montana rates for HCPCS J0795

Injection, corticorelin ovine triflutate, 1 mcg

Insurance Carrier
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $7.41 / $7.59
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.41 / $7.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96