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Montana rates for HCPCS J2358

Injection, olanzapine, long-acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $8.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.31
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.09 / $8.91
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.09 / $8.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $8.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $4.47 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16