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Montana rates for HCPCS J9015

Injection, aldesleukin, per single use vial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $6,025.60 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $6,165.95 / $6,165.95
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,258.93 / $1,479.11
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,258.93 / $1,479.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,818.38 / $7,413.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $6,760.83 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93