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Montana rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Facilitymedian $457 · 10th–90th $162–$66,0690%50%10th90th$457Professionalmedian $302 · 10th–90th $295–$4570%50%10th90th$302$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
$295.12 / $302.00 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $416.87 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $416.87
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $457.09 / $467.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $457.09 / $467.74
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $416.87 / $489.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $281.84 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12