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Montana rates for HCPCS J8562

Fludarabine phosphate, oral, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.06 / $76.83 / $76.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.84 / $107.63 / $122.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.83 / $79.56 / $81.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.57 / $92.57 / $92.57