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Montana rates for HCPCS J1551

Injection, immune globulin (Cutaquig), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.35 / $17.19 / $17.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.36 / $16.36 / $16.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $16.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.36 / $16.36 / $16.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $15.44 / $20.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23