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Montana rates for HCPCS J1450

Injection, fluconazole, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.73 / $8.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.62 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.08 / $4.08 / $47.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $4.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.08 / $4.08 / $47.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.45 / $3.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25