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Montana rates for HCPCS J1095

Injection, dexamethasone 9%, intraocular, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.14 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.14