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Montana rates for HCPCS 96369

Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $186.21 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $457.09
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $263.03 / $478.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $138.04 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $263.03 / $309.03