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Montana rates for HCPCS 96371

Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment of new subcutaneous infusion site(s) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $85.11 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $218.78
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $109.65 / $144.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $107.15 / $131.83