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Montana rates for HCPCS 36569

Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,872.04 / $2,872.04 / $2,872.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.69 / $146.69 / $146.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.69 / $453.70 / $482.60