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Montana rates for HCPCS A4305

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

Facilitymedian $15 · 10th–90th $8–$250%50%10th90th$15Professionalmedian $6 · 10th–90th $4–$120%20%10th90th$6$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$3.98 / $6.03 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $77,624.71 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $13.80 / $13.80
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $15.14 / $15.49
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.14 / $15.49
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $9.77 / $16.98
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $17.38 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.62 / $5.62