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Montana rates for HCPCS Q4074

Iloprost, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 20 mcg

Facilitymedian $158 · 10th–90th $91–$2880%20%10th90th$158Professionalmedian $158 · 10th–90th $155–$4470%50%10th90th$158$20.0$50.0$100.0$200.0$500.0

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
$158.49 / $158.49 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $169.82 / $169.82
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $154.88 / $288.40
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $154.88 / $288.40
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $169.82 / $416.87
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $169.82 / $257.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49