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Montana rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.82 / $10.91 / $22.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $9.36 / $23.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $9.36 / $23.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $9.77 / $12.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01