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Montana rates for HCPCS J3090

Injection, tedizolid phosphate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.31 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $4.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $2.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $4.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.13 / $2.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $1.96