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Montana rates for HCPCS C9257

Injection, bevacizumab, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.80 / $397.80 / $397.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.39 / $14.39 / $18.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.34 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.98 / $4.03 / $11.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $5.88 / $15.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.49 / $2.49