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Montana rates for HCPCS J9130

Dacarbazine 100 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.00 / $309.00 / $309.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.86 / $64.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.34 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.53 / $5.53 / $12.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $5.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $4.78 / $8.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $4.88 / $5.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.45