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Montana rates for HCPCS J1302

Enjaymo IV SOLN 1100 MG/22ML

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $21.91 / $21.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.61 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.69 / $20.69 / $20.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $20.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.69 / $20.69 / $20.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $20.46 / $26.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86