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Cytomegalovirus Immune Globulin Intravenous Injection

Montana rates for HCPCS J0850 · Cytogam

Injection, cytomegalovirus immune globulin intravenous (human), per vial

Rates data updated October 2026.

How much does Cytogam (human cytomegalovirus immune globulin) cost?

$1,995

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,862 from a physician practice, and about $2,239 from a hospital or other facility.

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$1,862$1,820 to $2,089
FacilityA hospital or hospital-owned outpatient department$2,239$2,089 to $2,344

How much rates vary

Facilitymedian $2,239 · 10th to 90th $1,820 to $3,548Professionalmedian $1,862 · 10th to 90th $79 to $2,512
$100$200$500$1K$2K$5Kfacility $2,239professional $1,862

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,089.30
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$2,238.72
Typical High
$2,951.21
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$2,238.72
Typical High
$2,511.89
Providence
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$4,365.16
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,862.09
Typical High
$1,995.26
United
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70

Where Montana sits

The same service costs 3.2 times more in Alabama than in Hawaii. 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· 15th of 51

$1,995

AL $5,623HI $1,738

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.