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Montana rates for HCPCS J2355

Injection, oprelvekin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.00 / $439.00 / $439.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.09 / $389.09 / $854.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.09 / $426.92 / $426.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.09 / $389.09 / $854.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.37 / $389.09 / $465.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.91 / $528.91 / $528.91