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Montana rates for HCPCS J9228

Injection, ipilimumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78,718.00 / $78,718.00 / $78,718.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.47 / $185.31 / $412.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.32 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.01 / $221.01 / $464.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $221.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.48 / $221.01 / $267.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $216.78 / $233.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $183.48