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Montana rates for HCPCS J3360

Injection, diazepam, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.06 / $120.84 / $388.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $9.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.19 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $6.61 / $18.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.35 / $7.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $6.61 / $18.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $7.97 / $10.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35