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Montana rates for HCPCS 96405

Chemotherapy administration; intralesional, up to and including 7 lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.00 / $307.00 / $307.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.89 / $81.69 / $137.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.69 / $44.69 / $130.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.69 / $130.91 / $155.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.70 / $78.29 / $150.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.88 / $95.46 / $189.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $85.17 / $208.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.50 / $136.30 / $163.81