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Montana rates for HCPCS J0584

Injection, burosumab-twza, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.71 / $582.70 / $948.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.21 / $536.21 / $1,069.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.14 / $484.14 / $536.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.21 / $536.21 / $1,069.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.14 / $525.24 / $685.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.14 / $484.14 / $484.14