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Montana rates for HCPCS J9036

Injection, bendamustine HCl, (Belrapzo/bendamustine), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $12.41 / $15.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.41 / $17.41 / $65.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $12.28 / $17.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.28 / $17.41 / $37.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $18.79 / $32.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $12.28 / $12.28