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Montana rates for HCPCS J2350

Injection, ocrelizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,188.00 / $72,188.00 / $72,188.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.40 / $60.30 / $36,330.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.53 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.98 / $65.98 / $169.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $65.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.98 / $65.98 / $169.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $64.45 / $84.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $59.41