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Montana rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.79 / $52.20 / $102.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $1.98 / $2.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.60 / $2.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.74 / $1.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.60 / $2.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.90 / $2.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75