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Montana rates for HCPCS J9293

Injection, mitoxantrone HCl, per 5 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.87 / $24.12 / $75.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $33.97 / $87.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $33.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.88 / $41.70 / $199.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.88 / $51.74 / $76.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $23.88