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Montana rates for HCPCS A4305

Disposable drug delivery system, flow rate of 50 ml or greater per hour

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.92 / $8.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.67 / $13.67 / $13.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $13.67 / $13.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.10 / $16.45 / $16.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $12.62 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.63 / $5.63