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Montana rates for HCPCS J2175

Injection, meperidine HCl, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.38 / $53.97 / $64.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $15.84 / $18.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.92 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.57 / $11.57 / $21.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $15.69 / $15.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.57 / $11.57 / $21.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $17.03 / $22.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $15.69 / $15.69