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Montana rates for HCPCS J1100

Injection, dexamethasone sodium phosphate, 1 mg

Facilitymedian $16 · 10th–90th $0–$910%5%10%10th90th$16Professionalmedian $1 · 10th–90th $0–$30%10%10th90th$1$0.1$1.0$10.0$100.0$1.0K$10.0K$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
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $25.70 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $1.26 / $3.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $0.11 / $0.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.11 / $0.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.13 / $0.36
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.13 / $0.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $0.11 / $0.34
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.11 / $0.11