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Montana rates for HCPCS J9212

Injection, interferon alfacon-1, recombinant, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $7.16 / $9.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.99 / $9.99 / $9.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $6.55 / $9.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.95 / $9.99 / $12.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $9.99 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $11.59 / $11.59