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Montana rates for HCPCS J1438

Injection, etanercept, 25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,023.29 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $1,047.13 / $1,047.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $251.19 / $269.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $251.19 / $269.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $501.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $151.36 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,071.52 / $1,071.52