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Montana rates for HCPCS J1201

Injection, cetirizine HCl, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $18.34 / $302.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.84 / $17.84 / $17.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $17.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.84 / $17.84 / $17.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $17.92 / $23.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $16.52