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Montana rates for HCPCS J1750

Injection, iron dextran, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $18.28 / $21.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.10 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.67 / $19.67 / $44.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $19.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.67 / $19.67 / $44.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $19.64 / $25.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $18.11