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Montana rates for HCPCS A4223

Infusion Supplies Not Used With External Infusion Pump Per Cassette Or Bag

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $2,400,000.00