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Montana rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $308.47 / $339.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.11 / $206.11 / $452.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.11 / $321.72 / $349.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.45 / $214.45 / $342.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.40 / $290.00 / $1,800,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $309.70 / $309.70