go back

Montana rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Facilitymedian $1 · 10th–90th $1–$80%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$1.0$10.0$100.0$1.0K$10.0K$100.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.29 / $2.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.69
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.91 / $2.51
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.91 / $2.51
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $4.07
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.62