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Montana rates for HCPCS J0878

Injection, daptomycin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $158.49 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $1.58 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.04
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.11 / $0.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.11 / $0.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03