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Montana rates for HCPCS J1835

Injection, itraconazole, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.38 / $41.38 / $41.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.55 / $1,478.55 / $1,478.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.55 / $1,478.55 / $1,478.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.55 / $1,478.55 / $1,478.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.68 / $1,364.66 / $2,080.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.28 / $42.28 / $42.28