go back

Montana rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Facilitymedian $51 · 10th–90th $36$1350%20%10th90th$51Professionalmedian $36 · 10th–90th $33$930%50%10th90th$36$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.88 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $36.31
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $47.86 / $93.33
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $47.86 / $93.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $36.31 / $36.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $47.86 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88