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Montana rates for HCPCS J9144

Injection, daratumumab, 10 mg and hyaluronidase-fihj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,946.00 / $23,946.00 / $37,825.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.57 / $56.12 / $21,374.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.84 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.98 / $64.98 / $64.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.57 / $55.57 / $64.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.57 / $61.64 / $67.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.57 / $64.23 / $70.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.57 / $55.57 / $55.57