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Wisconsin rates for HCPCS M0223

Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the COVID-19 public health emergency

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.50 / $567.02 / $1,545.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.50 / $550.50 / $1,015.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.89 / $1,310.54 / $1,872.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,012.52 / $3,012.52 / $3,012.52