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Montana rates for HCPCS J1100

Injection, dexamethasone sodium phosphate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.95 / $25.84 / $94.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $1.04 / $3.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.10 / $0.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09