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Montana rates for HCPCS J2770

Quinupristin/Dalfopristin

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.14 / $464.14 / $1,200.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.70 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.61 / $185.61 / $938.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.61 / $475.33 / $475.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.61 / $185.61 / $938.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.17 / $559.21 / $916.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.01 / $466.01 / $466.01