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Montana rates for HCPCS J1743

Injection, idursulfase, 1 mg

Facilitymedian $589 · 10th–90th $537–$1,6600%50%10th90th$589Professionalmedian $562 · 10th–90th $562–$1,5140%50%90th$562$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
$562.34 / $562.34 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $758.58 / $89,125.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $616.60
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $575.44 / $1,659.59
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $575.44 / $1,659.59
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $1,621.81
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $562.34 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34