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Montana rates for HCPCS J9357

Injection, valrubicin, intravesical, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.35 / $1,442.45 / $1,665.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.61 / $1,771.61 / $4,190.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.35 / $1,323.35 / $1,771.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.01 / $1,323.35 / $2,127.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.35 / $1,724.50 / $1,796.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.35 / $1,323.35 / $1,323.35