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Maine rates for HCPCS 96366

Iv Infusion Therapy Prophylaxis/Dx Ea Hour

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.96 / $23.55 / $33.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.90 / $47.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.53 / $33.47 / $46.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.73 / $28.61 / $43.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $22.58 / $33.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $27.03 / $32.85