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Montana rates for HCPCS J0490

Injection, belimumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.63 / $120.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.41 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.75 / $62.75 / $136.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $62.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.75 / $62.75 / $136.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $60.82 / $79.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07