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Montana rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.77 / $628.62 / $1,163.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.13 / $568.13 / $1,312.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $568.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.13 / $568.13 / $1,312.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $552.16 / $720.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96