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Montana rates for HCPCS J1823

Injection Inebilizumab-Cdon 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.50 / $540.14 / $598.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.95 / $552.95 / $552.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $552.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.95 / $552.95 / $552.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $537.63 / $701.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55