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Montana rates for HCPCS Q2052

Services, supplies and accessories used in the home for the administration of intravenous immune globulin (IVIG)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.54 / $906.54 / $906.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.39 / $510.39 / $611.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.19 / $997.19 / $997.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.63 / $224.52 / $259.10