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Montana rates for HCPCS J7195

Injection, Factor IX (antihemophilic factor, recombinant) per IU, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.27 / $4.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $2.12 / $4.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $2.12 / $4.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.00 / $2.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85