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Montana rates for HCPCS J9176

Injection, elotuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $7.96 / $17.48
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
$9.48 / $9.48 / $19.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $7.89 / $9.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.89 / $9.48 / $11.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $9.28 / $10.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $7.89 / $7.89