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Montana rates for HCPCS J1980

Injection, hyoscyamine sulfate, up to 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.78 / $53.78 / $82.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.72 / $14.72 / $64.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.72 / $55.08 / $55.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.72 / $14.72 / $64.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.50 / $40.15 / $59.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $54.00 / $54.00