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Montana rates for HCPCS J0896

Injection, luspatercept-aamt, 0.25 mg

Facilitymedian $46 · 10th–90th $41–$1200%50%10th90th$46Professionalmedian $44 · 10th–90th $42–$1120%50%10th90th$44$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$41.69 / $43.65 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $91.20 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $46.77
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $42.66 / $120.23
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $42.66 / $120.23
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $60.26 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66