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Arizona rates for HCPCS 96367

Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $85.11 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $27.54 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $46.77 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $38.90 / $53.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $36.31 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $35.48 / $57.54