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California 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
$32.36 / $70.79 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $57.54 / $120.23
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $51.29 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $40.74 / $61.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $38.02 / $87.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $42.66 / $120.23
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $44.67 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $40.74 / $109.65