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Montana rates for HCPCS J1640

Injection, hemin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.26 / $41.35 / $64.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.72 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.75 / $37.75 / $71.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $37.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.75 / $37.75 / $71.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $37.09 / $48.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18