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Montana rates for HCPCS J9271

Injection, pembrolizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $30,199.52 / $48,977.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $64.57 / $33,113.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $114.82 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $72.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $60.26 / $120.23
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $60.26 / $120.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $69.18 / $114.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $72.44 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26