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Montana rates for HCPCS J9229

Injection, inotuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,940.88 / $3,372.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,408.62 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,211.79 / $3,211.79 / $6,908.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $3,211.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,698.05 / $3,211.79 / $3,974.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $3,200.39 / $3,436.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $2,698.05