go back

Montana rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Facilitymedian $12 · 10th–90th $11–$310%50%10th90th$12Professionalmedian $42 · 10th–90th $23–$430%50%10th90th$42$10.0$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
$39.81 / $41.69 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $42.66 / $42.66
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $30.90
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $30.90
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $72.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $42.66 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66