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Montana rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Facilitymedian $5 · 10th–90th $2–$4070%20%10th90th$5Professionalmedian $20 · 10th–90th $2–$590%20%10th90th$20$2.0$20.0$200.0$2.0K$20.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $102.33 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $21.88 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.40 / $2.40
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.34 / $6.46
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.34 / $6.46
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $5.75
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $3.39 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.19