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Montana rates for HCPCS J2425

Injection, palifermin, 50 mcg

Facilitymedian $18 · 10th–90th $14–$680%50%10th90th$18Professionalmedian $36 · 10th–90th $18–$450%50%10th90th$36$20.0$50.0$100.0

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
$36.31 / $36.31 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $36.31 / $36.31
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $17.78 / $18.20
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $17.78 / $18.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $67.61
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $52.48 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31