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Montana rates for HCPCS J9280

Injection, mitomycin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.88 / $283.88 / $283.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.55 / $34.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.86 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.40 / $31.40 / $169.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $31.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $25.26 / $114.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.92 / $51.01 / $119.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35