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Montana rates for HCPCS J2793

Rilonacept Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.99 / $26.99 / $26.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.65 / $33.65 / $73.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.64 / $27.64 / $33.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.65 / $33.65 / $73.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.43 / $30.83 / $40.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.10 / $27.10 / $27.10