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Montana rates for HCPCS J1729

Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.59 / $13.59 / $13.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $13.91 / $16.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64