go back

Montana rates for HCPCS 96373

Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.37 / $20.57 / $72.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $18.64 / $43.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.92 / $24.29 / $39.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.04 / $30.51 / $33.29