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Montana rates for HCPCS J1744

Injection, icatibant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $45.71 / $56.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $144.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $295.12 / $660.69
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $660.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $1,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77