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Pennsylvania 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
$32.15 / $72.00 / $328.00
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.66 / $51.66 / $51.66
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.54 / $30.05 / $55.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.89 / $35.24 / $50.49
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.66 / $51.66 / $51.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.84 / $71.34 / $344.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.89 / $42.31 / $50.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.61 / $27.61 / $34.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $37.70 / $58.97