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Montana rates for HCPCS J9246

Injection, melphalan (Evomela), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $21.02 / $21.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.69 / $22.69 / $22.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $22.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.69 / $22.69 / $22.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $23.56 / $26.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $18.50