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Montana rates for HCPCS J3111

Injection Romosozumab-Aqqg 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,536.00 / $4,536.00 / $9,449.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.07 / $12.18 / $23.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.64 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.75 / $12.75 / $26.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.07 / $12.07 / $12.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.75 / $12.75 / $26.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.07 / $13.10 / $17.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.07 / $12.07 / $12.07