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Montana rates for HCPCS J0699

Injection, cefiderocol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.90 / $2.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.62 / $3.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42