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Montana rates for HCPCS 96423

Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.98 / $79.36 / $425.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.62 / $114.62 / $136.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.81 / $108.68 / $177.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.25 / $107.09 / $159.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.81 / $121.32 / $202.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.58 / $126.48 / $151.63