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Montana rates for HCPCS J9206

Injection, irinotecan, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.93 / $363.58 / $776.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.77 / $129.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $8.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $3.13 / $166.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.48 / $3.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75