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Maine rates for HCPCS 96365

Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $93.33 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $87.10 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $114.82 / $134.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $95.50 / $109.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $83.18 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $95.50 / $128.82