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Montana rates for HCPCS J1826

Injection Interferon Beta-1a 30 Mcg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,150.81 / $2,150.81 / $2,150.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.42 / $915.42 / $2,010.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.42 / $2,202.64 / $2,202.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.42 / $915.42 / $2,010.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.22 / $938.75 / $2,479.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,159.44 / $2,159.44 / $2,159.44