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Montana rates for HCPCS J9319

Injection, romidepsin, lyophilized, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $31.39 / $37.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.69 / $38.69 / $38.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $30.78 / $38.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.78 / $37.24 / $38.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.72 / $37.99 / $41.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $30.78 / $30.78