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Montana rates for HCPCS J1325

Injection Epoprostenol 0.5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $19.60 / $42.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.34 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.36 / $18.36 / $48.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $16.20 / $18.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.36 / $18.36 / $48.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $17.57 / $22.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $16.20 / $16.20