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Montana rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $34 · 10th–90th $4$64,5650%20%40%10th90th$34Professionalmedian $7 · 10th–90th $6$340%20%40%10th90th$7$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$6.03
Median
$6.03
Typical High
$8.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$46,773.51
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$24.55
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$33.88
Typical High
$34.67
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$33.88
Typical High
$34.67
Providence
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$67.61
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.75
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76