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Montana rates for HCPCS J9216

Injection, interferon, gamma 1-b, 3 million units

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,121.26 / $8,425.81 / $8,628.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.59 / $470.59 / $1,033.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.59 / $8,628.84 / $8,628.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.03 / $673.23 / $10,151.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.34 / $9,770.53 / $10,574.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,459.66 / $8,459.66 / $8,459.66