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Dimercaprol Injection

Montana rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Rates data updated October 2026.

How much does Dimercaprol Injection cost?

$56.23per 100 mg

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $56.23 for each 100 mg of this drug. The price depends on where it is billed: about $56.23 from a physician practice, and about $41.69 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 100 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$56.23
At a hospital outpatient department
$41.69

The same drug, in the same amount, costs 26% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$56.23$56.23 to $79.43
FacilityA hospital or hospital-owned outpatient department$41.69$28.18 to $123

How much rates vary

Facilitymedian $42 · 10th to 90th $28 to $204Professionalmedian $56 · 10th to 90th $56 to $79
$50$100$200facility $42professional $56

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
Aetna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$123.03
Typical High
$204.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$41.69
Providence
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$123.03
Typical High
$204.17
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23

Where Montana sits

The same service costs 1.6 times more in Arizona than in California. 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· 35th of 51

$56.23

AZ $89.13CA $54.95

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.