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Montana rates for HCPCS J0480

Basiliximab

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.67 / $5,653.69 / $10,493.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,351.01 / $5,351.01 / $11,869.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,686.85 / $4,686.85 / $5,351.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,351.01 / $5,351.01 / $11,869.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,686.85 / $5,084.79 / $6,632.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,686.85 / $4,686.85 / $4,686.85