go back

Michigan 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
$66.07 / $79.43 / $346.74
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$426.58 / $426.58 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $53.70 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $89.13 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $107.15 / $134.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $79.43 / $316.23
Health Alliance Plan
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$426.58 / $426.58 / $426.58
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $107.15 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $79.43 / $120.23