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Michigan 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
$129.01 / $155.88 / $155.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.33 / $206.66 / $206.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.16 / $300.49 / $385.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.12 / $180.77 / $245.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.47 / $135.10 / $164.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.85 / $183.97 / $275.14