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Montana rates for HCPCS J7202

Factor ix idelvion inj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $6.46 / $11.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.92 / $5.92 / $13.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.92 / $5.92 / $13.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.77 / $7.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32