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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
$3.98 / $6.03 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $13.80
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $15.14 / $15.49
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $15.14 / $15.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $10.23 / $16.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $17.38 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.62 / $5.62