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Montana rates for HCPCS J9261

Injection, nelarabine, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $91.20
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $120.23 / $338.84
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $120.23 / $338.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $117.49 / $218.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $83.18 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $67.61