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Montana rates for HCPCS J2783

Injection, rasburicase, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $426.58
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $389.05 / $1,096.48
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $389.05 / $1,096.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $891.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $380.19 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19