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Montana rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.15 / $42.58 / $53.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.46 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.41 / $50.41 / $96.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $50.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.16 / $50.41 / $55.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $49.33 / $53.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $42.16