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Montana rates for HCPCS J9039

Injection, blinatumomab, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $64,565.42 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $186.21
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $154.88 / $281.84
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $154.88 / $281.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $181.97 / $302.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $186.21 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18