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Montana rates for HCPCS J0485

Injection, belatacept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.71 / $9.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.92 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.44 / $4.44 / $11.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.44 / $4.44 / $11.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.22 / $5.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89