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Montana rates for HCPCS A4321

Therapeutic agent for urinary catheter irrigation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $2.24 / $4.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $85.11