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Amphotericin B Liposome Injection

Montana rates for HCPCS J0289

Injection, amphotericin B liposome, 10 mg

Rates data updated July 2026.

How much does Amphotericin B Liposome Injection cost?

$29.51per 10 mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $29.51 for each 10 mg of this drug. The price depends on where it is billed: about $27.54 from a physician practice, and about $29.51 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$27.54
At a hospital outpatient department
$29.51

The same drug, in the same amount, costs 7% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$27.54$25.12 to $52.48
FacilityA hospital or hospital-owned outpatient department$29.51$27.54 to $39.81

How much rates vary

Facilitymedian $30 · 10th to 90th $17 to $81Professionalmedian $28 · 10th to 90th $21 to $74
$20$50$100facility $30professional $28

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$27.54
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$26.92
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$29.51
Typical High
$81.28
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$29.51
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$77.62
Providence
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89

Where Montana sits

The same service costs 2.9 times more in Delaware than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 11th of 51

$29.51

DE $66.07ND $22.91

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.