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Montana rates for HCPCS J3380

Injection, Vedolizumab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,888.00 / $12,888.00 / $19,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.51 / $23.23 / $13,200.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.55 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.15 / $24.15 / $61.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.31 / $24.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.15 / $24.15 / $61.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $23.12 / $30.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.31 / $21.31