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Wisconsin rates for HCPCS 96374

Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $100.00 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $60.26 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $93.33 / $107.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $89.13 / $165.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $102.33 / $128.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $181.97
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $138.04 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $85.11 / $165.96