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Montana rates for HCPCS J2790

Rho D Immune Globulin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.36 / $213.36 / $366.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.47 / $91.74 / $209.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.82 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.08 / $88.08 / $250.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $88.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.08 / $88.08 / $250.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $89.59 / $116.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $82.58