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Montana rates for HCPCS J2720

Injection, protamine sulfate, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $77.62 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $4.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.58 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $2.24 / $3.24
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $2.24 / $3.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.58 / $2.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.24 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58