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Pennsylvania 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
$128.82 / $158.49 / $309.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $138.04 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $162.18 / $323.59
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $234.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $177.83 / $467.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $95.50 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $186.21 / $302.00