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Montana rates for HCPCS Q0510

Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $47.50 / $52.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $29.52 / $29.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.50 / $57.94 / $80.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $1,800,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $80.81 / $96.98