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Montana rates for HCPCS J1600

Injection, gold sodium thiomalate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.53 / $15.32 / $15.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.56 / $21.56 / $21.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.56 / $30.15 / $30.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.56 / $21.56 / $21.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.37 / $21.56 / $30.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $17.50 / $17.50