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Montana rates for HCPCS J9213

Injection, interferon, alfa-2a, recombinant, 3 million units

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.75 / $42.28 / $43.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.21 / $55.21 / $55.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.87 / $28.87 / $55.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.78 / $50.94 / $63.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.87 / $50.96 / $1,800,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.53 / $40.53 / $40.53