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Montana rates for HCPCS 90472

Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $30.00 / $87.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $23.14 / $23.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.71 / $32.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.71 / $17.10 / $31.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $12.99 / $20.30