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Montana rates for HCPCS J0637

Injection, caspofungin acetate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $18.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $3.81 / $20.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $3.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $3.81 / $20.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.84 / $7.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $3.54