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Montana rates for HCPCS J3230

Chlorpromazine Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $32.75 / $90.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.48 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.14 / $33.14 / $98.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $25.27 / $33.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.14 / $33.14 / $98.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $27.42 / $35.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $25.27 / $25.27