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Montana rates for HCPCS J9331

Injection Sirolimus Protein-Bound Particles 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $85.42 / $102.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.06 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.26 / $144.26 / $144.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $144.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.57 / $102.33 / $144.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.70 / $134.58 / $146.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $84.57