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Montana rates for HCPCS J1744

Injection, icatibant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.65 / $151.63 / $151.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.36 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.05 / $143.05 / $998.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $47.60 / $143.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.05 / $143.05 / $998.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $83.92 / $143.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.67 / $46.67 / $46.67