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Montana rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $186.21 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $22.91 / $77.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $5.75 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.16 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.16
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.15 / $1.70
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $1.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.25 / $2.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.15 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.12