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Montana rates for HCPCS 96417

Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.36 / $82.89 / $619.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.43 / $100.43 / $100.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.91 / $92.93 / $154.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.34 / $106.22 / $177.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.29 / $111.39 / $132.47