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Montana rates for HCPCS J1437

Injection, ferric derisomaltose, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,927.91 / $16,927.91 / $16,927.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.01 / $22.23 / $24.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.76 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.78 / $23.78 / $23.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $23.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.78 / $23.78 / $23.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $23.89 / $31.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02