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Montana rates for HCPCS J1743

Injection Idursulease 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.72 / $675.86 / $1,422.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.92 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.35 / $619.35 / $1,604.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $619.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.35 / $619.35 / $1,604.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $605.88 / $790.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46