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Montana rates for HCPCS J1599

Injection, immune globulin, intravenous, nonlyophilized (e.g., liquid), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.40 / $148.40 / $148.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.97 / $151.97 / $151.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.30 / $119.30 / $151.97