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Michigan 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 / $34.67 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $24.55 / $35.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $40.74 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $45.71 / $56.23
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $34.67 / $100.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $45.71 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $36.31 / $53.70