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Montana rates for HCPCS A0394

ALS specialized service disposable supplies; IV drug therapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.14 / $21.14 / $21.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.87 / $27.87 / $27.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $27.87 / $27.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.87 / $27.87 / $27.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $24.29 / $28.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.56 / $28.15 / $33.60