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Montana rates for HCPCS J9020

Injection, asparaginase, not otherwise specified, 10,000 units

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.62 / $58.47 / $60.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.08 / $83.08 / $182.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.05 / $83.08 / $84.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.33 / $65.06 / $92.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.05 / $83.08 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $73.09 / $73.09