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Montana rates for HCPCS J9023

Injection, avelumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.09 / $101.09 / $121.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.60 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.13 / $119.13 / $251.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.09 / $100.09 / $119.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.09 / $119.13 / $144.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.09 / $116.73 / $127.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.09 / $100.09 / $100.09