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Montana rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Facilitymedian $56 · 10th–90th $5–$2570%10%20%10th90th$56Professionalmedian $5 · 10th–90th $4–$330%20%40%10th90th$5$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $87.10 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.79 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $5.75
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $15.49
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $15.49
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $19.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.13 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79