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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
$32.65 / $90.60 / $408.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $23.38 / $154.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.16 / $39.35 / $53.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.55 / $36.47 / $57.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.55 / $36.00 / $57.59