go back

Montana rates for HCPCS J9263

Injection, oxaliplatin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.91 / $405.93 / $915.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $32.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.11 / $11.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08