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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
$159.88 / $866.42 / $866.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.94 / $222.94 / $222.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.21 / $152.21 / $459.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.16 / $195.69 / $309.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.03 / $260.42 / $308.94