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Montana rates for HCPCS J2704

Inj, Propofol, 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.90 / $74.12 / $471.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09