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Montana rates for HCPCS J9130

Dacarbazine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $8.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $14.45 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $5.50
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $3.98 / $7.24
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.98 / $7.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $6.03 / $11.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $5.25 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.37