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Montana rates for HCPCS J9262

Injection, omacetaxine mepesuccinate, 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $3.78 / $7.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $5.63 / $6.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $3.88 / $4.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $4.05 / $5.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $4.58 / $5.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80