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Montana rates for HCPCS J0517

Injection, benralizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $182.85 / $5,588.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.98 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.41 / $186.41 / $507.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $186.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.41 / $186.41 / $507.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $178.56 / $232.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59