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Montana rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $39.90 / $45.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.00 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.90 / $43.90 / $43.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $43.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $41.58 / $44.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.59 / $43.34 / $46.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28