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Montana rates for HCPCS J2840

Injection, sebelipase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.46 / $508.46 / $508.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $612.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $510.50 / $510.50