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Montana rates for HCPCS J9145

Injection, daratumumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $16,982.44 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $64,565.42 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $83.18
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $64.57 / $131.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $64.57 / $131.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $81.28 / $131.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $81.28 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79