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Montana rates for HCPCS J2794

Risperidone, Long Acting

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $13.24 / $27.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.98 / $11.98 / $30.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $10.98 / $11.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.98 / $11.98 / $30.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $11.91 / $15.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $10.98 / $10.98