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Wisconsin 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
$32.27 / $116.01 / $408.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.90 / $44.25 / $95.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $72.17 / $82.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $59.58 / $114.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.34 / $31.53 / $65.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.18 / $65.70 / $90.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $32.57 / $102.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $107.46 / $107.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.10 / $54.96 / $114.63