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Montana rates for HCPCS J9057

Injection, copanlisib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $87.10 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $263.03 / $263.03
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $263.03 / $263.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $102.33 / $144.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $89.13 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $89.13