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California rates for HCPCS M1145

Most favored nation (MFN) model drug add-on amount, per dose, (do not bill with line items that have the JW modifier)

Rates data updated July 2026.

How much rates vary

Facilitymedian $100 · 10th to 90th $100 to $100Professionalmedian $631 · 10th to 90th $398 to $832
$100$200$500facility $100professional $631

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00