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Montana rates for HCPCS J9359

Injection, loncastuximab tesirine-lpyl, 0.075 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $219.07 / $262.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.00 / $260.00 / $260.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $260.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.90 / $244.93 / $265.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $257.98 / $276.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $216.90