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Montana rates for HCPCS J0172

Injection, aducanumab-avwa, 2 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $7.24 / $7.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.82 / $6.82 / $6.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $6.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.82 / $6.82 / $6.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $6.82 / $7.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $5.98