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Galsulfase Injection

Montana rates for HCPCS J1458

Injection, galsulfase, 1 mg

Rates data updated July 2026.

Facilitymedian $501 · 10th–90th $417$1,4130%20%10th90th$501Professionalmedian $562 · 10th–90th $490$1,2880%20%10th90th$562$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
$562.34
Median
$616.60
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$549.54
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$1,412.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$1,412.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,202.26
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$512.86
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86