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Maine 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
$138.04 / $186.21 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $199.53 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $269.15 / $316.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $208.93 / $234.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $186.21 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $257.04 / $316.23