go back

Montana rates for HCPCS J9171

Injection, docetaxel, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.00 / $925.00 / $970.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.63 / $301.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.78 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.75 / $2.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.79 / $19.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.91 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63