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Montana rates for HCPCS J3472

Injection, hyaluronidase, ovine, preservative free, per 1,000 USP units

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $134.90 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $173.78
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $190.55 / $194.98
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $190.55 / $194.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $380.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $114.82 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13