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Montana rates for HCPCS A4306

Disposable drug delivery system, flow rate of less than 50 ml per hour

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.91 / $12.02
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
$19.05 / $19.05 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $19.05
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $20.89 / $21.38
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.89 / $21.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $14.13 / $23.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $24.55 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.76 / $7.76