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Montana rates for HCPCS J2469

Palonosetron Hcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $67.93 / $963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.39 / $23.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $68,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.00 / $801.00 / $801.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.56 / $11.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.78 / $24.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.74 / $1.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36