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Montana rates for HCPCS J0220

Injection, alglucosidase alfa, 10 mg, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $125.89 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $239.88 / $380.19
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $239.88 / $380.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $125.89 / $218.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42