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Montana rates for HCPCS J1602

Injection, golimumab, 1 mg, for intravenous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,588.04 / $29,588.04 / $29,588.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $12.26 / $7,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.47 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.29 / $12.29 / $59.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $12.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.29 / $12.29 / $59.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.97 / $15.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $11.04