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Montana rates for HCPCS C9047

Injection, caplacizumab-yhdp, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.12 / $776.12 / $776.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.83 / $794.83 / $899.12