go back

Montana rates for HCPCS J0129

Injection Abatacept 10 Mg (Code May Be Used For Medicare When Drug Adminstered Under The Direct Supervision Of A Physician Not For Use When Drug Is Self Administered) (Revised 010112)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,009.20 / $7,009.20 / $8,345.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.10 / $44.54 / $152.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.65 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.51 / $49.51 / $167.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.11 / $44.11 / $49.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.51 / $49.51 / $167.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.11 / $47.85 / $62.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.11 / $44.11 / $44.11