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Wisconsin rates for HCPCS 96377

Appl On-Body Injector For Timed Subq Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.91 / $25.11 / $88.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.51 / $26.31 / $58.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.66 / $46.70 / $53.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.12 / $35.97 / $74.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.75 / $62.44 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.16 / $42.77 / $59.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.07 / $21.07 / $21.07
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.53 / $69.51 / $69.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.42 / $34.21 / $74.11