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Montana rates for HCPCS J3358

Ustekinumab, for intravenous injection, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $14.43 / $17,039.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.05 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.62 / $14.62 / $35.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $12.99 / $14.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.62 / $14.62 / $35.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $14.10 / $18.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $12.99 / $12.99