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Iowa rates for HCPCS 96371

Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment of new subcutaneous infusion site(s) (List separately in addition to code for primary procedure)

Professionalmedian $76 · 10th–90th $51–$1580%20%10th90th$76$50.0$100.0$200.0

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
$51.29 / $64.57 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $141.25 / $158.49
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $75.86 / $263.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $120.23 / $165.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $144.54 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $93.33 / $190.55