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Montana rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.90 / $99.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.86 / $93.86 / $93.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $93.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.08 / $91.10 / $99.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $93.86 / $104.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $82.08