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Montana rates for HCPCS J1786

Injection, imiglucerase, 10 units

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.08 / $52.38 / $113.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.25 / $49.25 / $127.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.19 / $43.19 / $49.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.25 / $49.25 / $127.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.19 / $46.86 / $61.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.19 / $43.19 / $43.19