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Montana rates for HCPCS J2360

Injection Orphenadrine Citrate Up To 60 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.72 / $79.30 / $301.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $11.30 / $12.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.08 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.07 / $14.07 / $19.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $14.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.07 / $14.07 / $19.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $12.13 / $15.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $11.19