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Montana rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $23,229.71 / $23,789.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,079.62 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,575.97 / $3,575.97 / $7,853.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,575.97 / $23,789.46 / $23,789.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,004.74 / $3,980.45 / $27,987.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,300.53 / $27,468.75 / $29,153.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,323.00 / $23,323.00