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Montana rates for HCPCS J9175

Injection, Elliotts' B solution, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $10.16 / $10.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.78 / $5.78 / $12.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $10.40 / $10.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $9.61 / $12.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $12.13 / $12.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.19