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Montana rates for HCPCS J9318

Injection, romidepsin, nonlyophilized, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.80 / $34.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $38.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $29.37 / $39.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $38.39 / $40.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $28.52