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Montana rates for HCPCS J1628

Injection, guselkumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $82.81 / $90.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.39 / $80.39 / $80.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $80.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.39 / $80.39 / $80.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $82.42 / $166.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97