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Montana rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.35 / $227.80 / $450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.13 / $52.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $68,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.00 / $801.00 / $801.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.16 / $3.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.16 / $1.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10