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Montana rates for HCPCS J0220

Injection, alglucosidase alfa, 10 mg, not otherwise specified

Facilitymedian $219 · 10th–90th $126–$3800%20%10th90th$219Professionalmedian $195 · 10th–90th $186–$2340%50%10th90th$195$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $125.89 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $239.88 / $380.19
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $239.88 / $380.19
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $125.89 / $218.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $79.43 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42