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Montana rates for HCPCS J9098

Injection, cytarabine liposome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.09 / $590.42 / $604.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.61 / $664.61 / $1,459.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.37 / $628.37 / $681.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.40 / $628.37 / $740.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.37 / $664.61 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.79 / $592.79 / $592.79