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Montana rates for HCPCS J9295

Injection, necitumumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $6.25 / $7.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.03 / $7.03 / $16.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $7.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $7.03 / $9.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $7.16 / $7.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $5.73