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Montana rates for HCPCS J9025

Injection, azacitidine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.26 / $513.26 / $513.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.56 / $6.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.46 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $3.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.56 / $0.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.68 / $6.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.51 / $0.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56