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Wisconsin 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
$60.26 / $134.90 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $104.71 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $158.49 / $181.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $120.23 / $263.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $95.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $223.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $239.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $234.42 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $123.03 / $263.03