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Montana rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Facilitymedian $5 · 10th–90th $1–$64,5650%20%40%10th90th$5Professionalmedian $1 · 10th–90th $1–$50%50%90th$1$0.5$5.0$50.0$500.0$5.0K$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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $4.68
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $5.13 / $5.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $5.13 / $5.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $10.47
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $5.75 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00