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Montana rates for HCPCS G0089

Professional services, initial visit, for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 min

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.35 / $445.35 / $445.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.35 / $445.35 / $445.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.49 / $305.61 / $445.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.35 / $445.35 / $445.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.08 / $472.12 / $520.97