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Wisconsin rates for HCPCS C8957

Intravenous Infusion For Therapy/Diagnosis; Initiation Of Prolonged Infusion (More Than 8 Hours) Requiring Use Of Portable Or Implantable Pump

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.69 / $376.69 / $542.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.69 / $376.69 / $376.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.69 / $376.69 / $376.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.69 / $848.11 / $848.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.69 / $376.69 / $376.69