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Montana rates for HCPCS C9293

Injection, glucarpidase, 10 units

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $426.58 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $436.52 / $831.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $436.52 / $436.52