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Montana rates for HCPCS J9153

Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $279.13 / $320.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.41 / $305.41 / $585.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $305.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.08 / $303.13 / $338.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $299.08 / $326.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $256.08