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Montana rates for HCPCS 96372

Therapeutic Prophylactic/Dx Injection Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.40 / $175.85 / $1,744.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.97 / $28.90 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.61 / $22.61 / $22.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.61 / $22.61 / $26.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $21.69 / $56.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.61 / $22.61 / $26.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $20.38 / $31.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $23.61 / $38.84