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Arizona rates for HCPCS 96369

Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $190.55 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $263.03 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $169.82 / $331.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $173.78 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $169.82 / $269.15