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Montana rates for HCPCS J0222

Inj., patisiran, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.96 / $120.78 / $256.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.05 / $113.05 / $290.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.97 / $99.97 / $113.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.05 / $113.05 / $290.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.97 / $108.46 / $141.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.97 / $99.97 / $99.97