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Montana rates for HCPCS 96365

Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.52 / $90.71 / $363.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.85 / $98.85 / $98.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.91 / $69.91 / $163.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.70 / $91.66 / $141.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.00 / $116.00 / $128.00