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Montana rates for HCPCS J3000

Streptomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.93 / $37.93 / $87.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.21 / $29.21 / $114.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.21 / $36.69 / $36.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.21 / $29.21 / $114.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $39.79 / $51.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $36.69