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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
$73.81 / $73.84 / $101.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.59 / $83.05 / $141.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.19 / $113.96 / $149.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.78 / $85.36 / $130.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $73.84 / $92.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.65 / $93.25 / $120.58