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Montana rates for HCPCS J1745

Infliximab Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,170.60 / $7,170.60 / $16,913.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.39 / $31.49 / $7,695.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.02 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $36.78 / $151.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $31.09 / $36.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $36.78 / $151.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $33.72 / $44.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $31.09 / $31.09