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Montana rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Facilitymedian $47,863 · 10th–90th $19,953–$87,0960%20%10th90th$47,863Professionalmedian $43,652 · 10th–90th $43,652–$56,2340%50%90th$43,652$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$43,651.58 / $43,651.58 / $53,703.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $70,794.58 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $114,815.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $54,954.09
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $46,773.51 / $100,000.00
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,054.61 / $46,773.51 / $100,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $43,651.58 / $77,624.71
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $52,480.75 / $58,884.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43,651.58 / $43,651.58 / $56,234.13