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Montana rates for HCPCS J0881

Injection, darbepoetin alfa, 1 mcg (non-ESRD use)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,319.00 / $14,319.00 / $14,319.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.95 / $3.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.33 / $11.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $2.84 / $3.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.33 / $11.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $3.17 / $4.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $2.93