go back

Missouri 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
$28.05 / $34.78 / $85.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $40.82 / $53.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.23 / $48.50 / $64.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $38.59 / $73.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.18 / $40.40 / $74.91