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Montana rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.39 / $116.76 / $116.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $133.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $117.24