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Montana rates for HCPCS J0840

Injection, crotalidae polyvalent immune fab (ovine), up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,993.30 / $2,251.96 / $7,974.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,427.20 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,004.28 / $2,004.28 / $9,158.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.71 / $1,828.71 / $2,004.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,004.28 / $2,004.28 / $9,158.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.71 / $1,983.98 / $2,587.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,828.72 / $1,828.72