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Wisconsin rates for HCPCS 96379

Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $50.12 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $3.16 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.09 / $2.63
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $117.49 / $117.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $165.96