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Montana rates for HCPCS J0287

Injection, amphotericin B lipid complex, 10 mg

Facilitymedian $32 · 10th–90th $12–$320%50%10th90th$32Professionalmedian $10 · 10th–90th $10–$320%50%90th$10$10.0$20.0$50.0

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
$10.00 / $10.00 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $11.75
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $31.62 / $32.36
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $31.62 / $32.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $19.05
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $36.31 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47