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Montana rates for HCPCS J9306

Perjeta IV SOLN 420 MG/14ML

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $18.89 / $32,764.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.30 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.89 / $19.89 / $38.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $19.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.02 / $19.89 / $22.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $19.77 / $21.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $17.02