go back

Montana rates for HCPCS J7050

Infusion Normal Saline Solution 250 Cc (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.86 / $96.79 / $990.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.71 / $2.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.74 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $1.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $1.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.70 / $0.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65