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Montana rates for HCPCS J1720

Hydrocortisone Sodium Succ I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.50 / $12.50 / $80.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.30 / $23.23 / $52.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.48 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $23.50 / $41.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.31 / $23.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $23.50 / $41.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $23.13 / $30.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.31 / $21.31