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Montana rates for HCPCS B9002

Enteral Nutrition Infusion Pump Any Type (Specialcoverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450) (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.48 / $2,748.48 / $2,748.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.81 / $115.81 / $115.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.89 / $1,273.89 / $1,273.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.89 / $1,273.89 / $1,273.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.89 / $1,273.89 / $1,273.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.18 / $888.26 / $1,273.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.43 / $1,372.25 / $2,447.44