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Montana rates for HCPCS J2426

Paliperidone Palmitate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,009.15 / $3,009.15 / $3,009.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.47 / $18.25 / $31.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.02 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.86 / $16.86 / $35.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $15.11 / $16.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.86 / $16.86 / $35.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $16.39 / $21.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $15.11 / $15.11