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Montana rates for HCPCS J9145

Injection, daratumumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,910.40 / $16,910.40 / $16,910.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.37 / $79.28 / $147.47
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
$82.94 / $82.94 / $165.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.37 / $71.37 / $82.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.37 / $81.65 / $95.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.37 / $78.80 / $90.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.37 / $71.37 / $71.37