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Montana rates for HCPCS J0882

Injection, darbepoetin alfa, 1 mcg (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.96 / $9.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.04 / $64,999.99 / $68,099.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.33 / $6.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $3.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $3.33 / $5.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.69 / $4.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $2.93