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Montana rates for HCPCS J2180

Injection, meperidine and promethazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $7.86 / $7.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $12.09 / $12.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $3.79 / $12.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $12.09 / $12.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $10.93 / $14.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $3.79 / $3.79