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Montana rates for HCPCS J9047

Injection, carfilzomib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,757.00 / $4,816.13 / $4,816.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.65 / $56.20 / $102.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.73 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.58 / $63.58 / $115.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.65 / $55.65 / $63.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.65 / $63.58 / $73.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.65 / $61.98 / $70.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.65 / $55.65 / $55.65