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Montana rates for HCPCS J9185

Fludarabine Phosphate 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $74.33 / $86.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.01 / $73.01 / $149.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $68.20 / $77.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.20 / $104.02 / $321.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $160.99 / $625.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $68.20 / $68.20