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Montana rates for HCPCS J1290

Injection, ecallantide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.16 / $701.79 / $1,296.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.54 / $644.54 / $1,434.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $644.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.54 / $644.54 / $1,434.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $629.21 / $820.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.97