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Montana rates for HCPCS 96367

Iv Infusion Ther Proph Addl Sequential To 1 Hr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.15 / $44.62 / $149.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.35 / $35.35 / $69.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.79 / $40.79 / $63.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.89 / $50.46 / $56.97