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Etanercept Injection

Montana rates for HCPCS J1438

Injection, etanercept, 25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Rates data updated July 2026.

Facilitymedian $251 · 10th–90th $229$5010%20%40%10th90th$251Professionalmedian $1,072 · 10th–90th $229$1,0720%50%10th$1,072$100.0$200.0$500.0$1.0K$2.0K

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
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$1,096.48
Typical High
$1,096.48
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$251.19
Typical High
$269.15
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$251.19
Typical High
$269.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$501.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52