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Montana rates for HCPCS J9061

Injection, amivantamab-vmjw, 2 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $46.77 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $26.30
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $38.90
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $38.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $26.30 / $40.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.92 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39