go back

Montana rates for HCPCS J9022

Injection, atezolizumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,830.00 / $19,830.00 / $19,830.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $92.25 / $10,303.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.56 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.63 / $109.63 / $231.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $91.34 / $109.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.34 / $109.63 / $133.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $105.77 / $116.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $91.34 / $91.34