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Montana rates for HCPCS J1095

Injection, dexamethasone 9%, intraocular, 1 mcg

Facilitymedian $3 · 10th–90th $2–$30%50%10th$3Professionalmedian $1 · 10th–90th $1–$10%50%90th$1$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $1.17
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $3.31 / $3.31
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.31 / $3.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15