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Nebraska 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
$26.95 / $72.00 / $165.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.53 / $42.22 / $58.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.93 / $67.98 / $72.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.94 / $55.98 / $70.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.89 / $59.87 / $76.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.24 / $63.74 / $70.43