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Montana rates for HCPCS J1952

Leuprolide injectable, camcevi, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.21 / $79.70 / $87.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.79 / $59.79 / $59.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.79 / $78.92 / $78.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.79 / $59.79 / $59.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $85.62 / $111.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.92 / $78.92 / $78.92