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Montana rates for HCPCS J7323

Euflexxa Inj Per Dose

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $124.93 / $701.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.91 / $146.91 / $440.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $112.45 / $146.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.91 / $146.91 / $440.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $122.00 / $159.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $112.45 / $112.45