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Montana rates for HCPCS J9215

Injection, interferon, alfa-N3, (human leukocyte derived), 250,000 IU

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.91 / $30.00 / $30.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.82 / $26.82 / $58.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.82 / $30.72 / $30.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.97 / $26.82 / $37.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.75 / $36.00 / $37.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00