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Montana rates for HCPCS A4911

Drain bag/bottle, for dialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $10.00 / $10.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $15.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00