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Montana rates for HCPCS J2680

Injection, fluphenazine decanoate, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $9.11 / $27.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.08 / $10.08 / $33.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $10.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.08 / $10.08 / $33.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.92 / $12.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.31