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Montana rates for HCPCS J9400

Injection, ziv-aflibercept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $8.59 / $9.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.18 / $10.18 / $23.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $10.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.88 / $9.76 / $13.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.81 / $9.76 / $10.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $7.88