go back

Montana rates for HCPCS J9037

Injection, belantamab mafodotin-blmf, 0.5 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.89 / $48.89 / $58.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.16 / $55.16 / $55.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.62 / $55.16 / $55.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.45 / $45.45 / $45.45