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Montana rates for HCPCS J3145

Injection, testosterone undecanoate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.29 / $1,980.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $4.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $4.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.24 / $2.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06