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Montana rates for HCPCS Q2049

Injection, doxorubicin HCl, liposomal, imported Lipodox, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.48 / $477.75 / $489.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.54 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.09 / $940.02 / $2,747.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.43 / $508.43 / $663.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.75 / $508.43 / $988.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.43 / $551.60 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.60 / $575.60 / $575.60