go back

Montana rates for HCPCS J3304

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.48 / $22.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.70 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.56 / $20.56 / $54.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $20.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.56 / $20.56 / $54.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $19.85 / $25.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30