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Montana rates for HCPCS J9205

Injection Irinotecan Liposome 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.65 / $78.95
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
$80.05 / $80.05 / $160.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $80.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $80.05 / $92.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $80.05 / $84.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00