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Montana rates for HCPCS J9065

Injection, cladribine, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.67 / $11.75 / $30.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.38 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.51 / $12.51 / $61.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $15.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $20.20 / $50.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $15.11 / $20.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $10.68