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Montana rates for HCPCS J2786

Cinqair IV SOLN 100 MG/10ML

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.94 / $12.80 / $25.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.98 / $11.98 / $28.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $11.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.98 / $11.98 / $28.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $11.88 / $15.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $10.95