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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)

Professionalmedian $158 · 10th–90th $129–$2400%20%10th90th$158$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $158.49 / $234.42
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $138.04 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $213.80 / $323.59
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $234.42 / $234.42
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $147.91 / $213.80
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $95.50 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $190.55 / $295.12