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Montana rates for HCPCS 96402

Chemotx Admn Subq/Im Hormonal Anti-Neo

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.92 / $40.45 / $164.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.37 / $55.73 / $55.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.47 / $48.92 / $71.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.35 / $55.73 / $88.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.39 / $52.51 / $63.06