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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
$69.18 / $112.20 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $162.18
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $114.82 / $478.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $79.43 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $114.82 / $128.82