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Montana rates for HCPCS J1790

Injection, droperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.58 / $40.00 / $191.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $7.63 / $8.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.87 / $9.77 / $10.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $9.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $7.63 / $11.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $11.19 / $12.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $7.63