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Montana rates for HCPCS J1000

Injection, depo-estradiol cypionate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.71 / $54.74 / $63.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.26 / $48.32 / $69.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.32 / $49.28 / $49.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.26 / $48.32 / $69.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.39 / $53.46 / $69.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $49.28