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Amantadine Hydrochloride, Oral

Montana rates for HCPCS G9017

Amantadine hcl 100mg oral

Rates data updated October 2026.

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $1
$1facility $1

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1.02
Median
$1.02
Typical High
$1.48