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Montana rates for HCPCS J2770

Injection, quinupristin/dalfopristin, 500 mg (150/350)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $467.74 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $478.63 / $478.63
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $204.17 / $208.93
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $204.17 / $208.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $933.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $229.09 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74