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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
$46.77 / $46.77 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $60.26 / $97.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $60.26 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $81.28 / $95.50