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Maine 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
$32.14 / $33.82 / $45.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.41 / $36.96 / $64.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.56 / $48.84 / $66.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.79 / $39.11 / $59.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.14 / $33.82 / $48.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $43.17 / $53.68