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Montana rates for HCPCS J2280

Injection, moxifloxacin, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.77
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $9.33 / $28.84
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $9.33 / $28.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $25.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.88 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12