go back

Montana rates for HCPCS 96366

Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.96 / $41.43 / $110.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.07 / $32.07 / $32.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.47 / $22.47 / $47.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $28.41 / $45.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.10 / $35.36 / $39.03