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Montana rates for HCPCS J2547

Injection, peramivir, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $2.09 / $5.37
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.09 / $5.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58