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Montana rates for HCPCS B4035

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.08 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $10.23 / $13.49
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $10.23 / $13.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $11.75 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.22 / $18.62