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Montana rates for HCPCS J1439

Inj Ferric Carboxymaltos 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,311.55 / $3,051.16 / $5,057.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.23 / $2,148.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $3.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.20 / $1.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11