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Montana rates for HCPCS J1560

Injection, gamma globulin, intramuscular, over 10 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.82 / $202.14 / $1,124.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.03 / $558.03 / $1,261.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $558.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.03 / $558.03 / $1,261.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $184.95 / $598.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $170.48