go back

Montana rates for HCPCS J2543

Injection, piperacillin sodium/tazobactam sodium, 1 g/0.125 g (1.125 g)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.61 / $79.80 / $186.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.18 / $4.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.20 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $4.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $4.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.15 / $1.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07