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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
$377.51 / $381.30 / $788.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.44 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.88 / $422.88 / $890.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $377.52 / $422.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.88 / $422.88 / $890.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $409.57 / $534.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $377.52 / $377.52