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Montana rates for HCPCS Q2050

Injection, doxorubicin HCl, liposomal, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.18 / $949.18 / $949.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.47 / $118.23 / $990.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.66 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.70 / $171.70 / $938.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.47 / $108.47 / $171.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.47 / $170.06 / $540.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.68 / $161.03 / $181.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.47 / $108.47 / $108.47