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Pegademase Bovine Injection

Montana rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Rates data updated October 2026.

How much rates vary

Facilitymedian $263 · 10th to 90th $182 to $372
$200facility $263

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$263.03
Typical High
$371.54