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Montana rates for HCPCS J0178

Injection, aflibercept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,718.00 / $2,718.00 / $2,718.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.26 / $1,804.98 / $3,688.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,864.80 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.48 / $908.48 / $2,753.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.56 / $771.56 / $908.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.48 / $908.48 / $2,753.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.56 / $837.06 / $1,091.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.56 / $771.56 / $771.56