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Montana rates for HCPCS J9040

Injection, bleomycin sulfate, 15 units

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $23.68 / $50.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.44 / $26.44 / $80.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $29.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.53 / $26.44 / $73.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.39 / $27.82 / $30.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $21.53