go back

Montana rates for HCPCS J2510

Injection, penicillin G procaine, aqueous, up to 600,000 units

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $45.77 / $79.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.77 / $15.77 / $62.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.77 / $46.87 / $46.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.77 / $15.77 / $62.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.12 / $46.34 / $71.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.95 / $45.95 / $45.95