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Montana rates for HCPCS J9358

Injection, fam-trastuzumab deruxtecan-nxki, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $30.28 / $9,000.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.45 / $35.45 / $35.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $35.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.98 / $32.97 / $36.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $34.69 / $38.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $29.98