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Montana rates for HCPCS J0890

Injection, peginesatide, 0.1 mg (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $10.77 / $10.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.19 / $10.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.35 / $12.97 / $14.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $11.60 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.97 / $12.97 / $12.97