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Montana rates for HCPCS J0890

Injection, peginesatide, 0.1 mg (for ESRD on dialysis)

Facilitymedian $12 · 10th–90th $10–$130%20%40%10th90th$12Professionalmedian $10 · 10th–90th $10–$130%50%90th$10$0.1$0.2$1.0$5.0$20.0$100.0

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
$10.00 / $10.00 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $9.12
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $11.22
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $11.22
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $12.88 / $14.45
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88