go back

Montana rates for HCPCS J2323

Tysabri IV CONC 300 MG/15ML

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.23 / $26.66 / $18,622.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.03 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.82 / $27.82 / $63.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $27.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.82 / $27.82 / $63.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $26.04 / $33.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00