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Montana rates for HCPCS J7312

Injection, dexamethasone, intravitreal implant, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.65 / $227.32 / $1,454.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.28 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.28 / $234.28 / $591.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $234.28 / $234.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.61 / $234.28 / $591.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.98 / $221.98 / $260.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $204.61 / $204.61