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Montana rates for HCPCS J1427

Injection Viltolarsen 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.17 / $56.17 / $56.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $67.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $56.40