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Montana rates for HCPCS J2278

Injection, ziconotide, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $11.05 / $21.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.07 / $11.07 / $24.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.14 / $11.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.07 / $11.07 / $24.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $11.01 / $14.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.14 / $10.14