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Montana rates for HCPCS J3121

Injection, testosterone enanthate, 1 mg

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $75,857.76 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.14
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05