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Montana rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $50.21 / $60.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.06 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.28 / $11.28 / $45.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.83 / $51.42 / $51.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $11.28 / $51.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $11.28 / $51.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $50.40 / $50.40