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Caspofungin Injection

Montana rates for HCPCS J0637 · Cancidas

Injection, caspofungin acetate, 5 mg

Rates data updated July 2026.

How much does Caspofungin Injection cost?

$7.08per 5 mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $7.08 for each 5 mg of this drug. The price depends on where it is billed: about $6.61 from a physician practice, and about $7.08 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 5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$6.61
At a hospital outpatient department
$7.08

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$6.61$3.89 to $12.88
FacilityA hospital or hospital-owned outpatient department$7.08$7.08 to $12.88

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $17Professionalmedian $7 · 10th to 90th $4 to $15
$5$10$20$50facility $7professional $7

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
$3.89
Median
$4.37
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.80
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$16.60
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$16.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$19.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$5.01
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80

Where Montana sits

The same service costs 3.9 times more in Oklahoma than in Tennessee. 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· 4th of 51

$7.08

OK $13.80TN $3.55

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.