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Montana rates for HCPCS J2356

Injection, tezepelumab-ekko, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.01 / $20.00 / $3,738.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.70 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.28 / $20.28 / $20.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.01 / $18.01 / $20.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.28 / $20.28 / $20.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.01 / $19.54 / $25.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.01 / $18.01 / $18.01