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Montana rates for HCPCS J3280

Injection, thiethylperazine maleate, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $6.16 / $6.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.36 / $7.36 / $7.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $7.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.36 / $7.36 / $7.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $7.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76