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Montana rates for HCPCS C9293

Injection, glucarpidase, 10 units

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $430.60 / $440.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.04 / $440.98 / $462.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98