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Montana rates for HCPCS 96375

Therapeutic Injection Iv Push Each New Drug

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.48 / $57.05 / $181.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.19 / $24.19 / $24.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.06 / $24.06 / $48.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $22.33 / $34.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.92 / $27.14 / $39.04