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Pennsylvania rates for HCPCS 96370

Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)

Professionalmedian $15 · 10th–90th $14–$260%20%40%10th90th$15$5.0$10.0$20.0$50.0$100.0

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
$14.13 / $15.14 / $21.88
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.60 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $19.95 / $33.88
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $28.18 / $28.18
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $18.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $17.38 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.50 / $29.51