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Montana rates for HCPCS J7686

Treprostinil Inhalation Solution Fda-Approved Final Product Non-Compounded Administered Through Dme Unit Dose Form 1.74 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.74 / $968.18 / $1,684.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.99 / $867.99 / $1,900.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $867.99 / $867.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.09 / $867.99 / $1,900.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.68 / $863.68 / $1,013.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $796.09