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Hawaii 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
$35.53 / $71.34 / $468.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.28 / $58.28 / $58.28
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.90 / $51.87 / $63.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.31 / $35.24 / $41.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.71 / $49.27 / $51.92
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $45.94 / $197.64