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Montana rates for HCPCS J0795

Injection, corticorelin ovine triflutate, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $9.09 / $24.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.84 / $6.84 / $19.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $9.31 / $9.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.84 / $6.84 / $19.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $9.31 / $9.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $10.95