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Montana rates for HCPCS J9027

Injection, clofarabine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.61 / $17.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.63 / $19.63 / $171.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $19.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $19.63 / $162.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $17.26 / $29.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $4.19