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Montana rates for HCPCS J2265

Injection, minocycline HCl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $4.05 / $11.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $2.64 / $2.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $4.05 / $11.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $2.64 / $3.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59