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Montana rates for HCPCS J2797

Injection Rolapitant 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.88 / $0.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.95 / $1.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $0.92 / $0.92