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Montana rates for HCPCS J7615

Levalbuterol Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.54 / $1.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $3.15 / $3.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $3.15 / $3.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $3.15 / $3.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09