go back

Montana rates for HCPCS J9151

Injection, daunorubicin citrate, liposomal formulation, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.19 / $60.26 / $229.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.13 / $84.13 / $184.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.66 / $57.66 / $84.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.99 / $75.79 / $276.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.66 / $84.13 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.00 / $276.00 / $276.00