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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
$43.65 / $44.67 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $46.77 / $46.77
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $16.98 / $17.38
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $16.98 / $17.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $61.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $46.77 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71