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Montana rates for HCPCS 96542

Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $107.15 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $66.07 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $204.17 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $120.23 / $275.42
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $169.82 / $229.09
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $169.82 / $229.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $134.90 / $302.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $114.82 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $114.82 / $239.88