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Montana rates for HCPCS J0219

Injection, avalglucosidase alfa-ngpt, 4 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.56 / $97.71 / $97.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.83 / $88.83 / $88.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.91 / $80.91 / $88.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.83 / $88.83 / $88.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.91 / $87.78 / $114.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.91 / $80.91 / $80.91