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Montana rates for HCPCS A4221

Supplies for maintenance of noninsulin drug infusion catheter, per week (list drugs separately)

Facilitymedian $25 · 10th–90th $22–$480%20%40%10th90th$25Professionalmedian $17 · 10th–90th $12–$310%20%10th90th$17$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $69,183.10 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $29.51 / $29.51
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $24.55 / $47.86
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $24.55 / $47.86
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $25.70 / $36.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $28.84 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $13.18 / $15.49