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Montana rates for HCPCS 96422

Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.60 / $171.55 / $920.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.52 / $235.29 / $382.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.52 / $262.58 / $437.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.50 / $283.79 / $436.61