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Montana rates for HCPCS 96425

Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours), requiring the use of a portable or implantable pump

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.77 / $182.01 / $976.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.52 / $265.52 / $315.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.34 / $251.80 / $410.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.19 / $248.30 / $374.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.34 / $282.54 / $470.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.90 / $295.80 / $337.26