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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
$5.67 / $6.81 / $12.21
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
$18.93 / $18.93 / $18.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $18.93 / $18.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $22.14 / $22.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.65 / $17.47 / $26.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.79 / $7.79