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Montana rates for HCPCS J7340

Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.52 / $294.20 / $558.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.14 / $269.14 / $655.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $269.14 / $269.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.61 / $269.14 / $655.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.29 / $264.29 / $310.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61