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Wisconsin rates for HCPCS M0241

Intravenous infusion or subcutaneous injection, casirivimab and imdevimab, includes infusion or 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, subsequent repeat doses

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $772.50 / $2,106.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $750.00 / $1,911.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.24 / $1,788.64 / $2,550.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,104.64 / $4,104.64 / $4,104.64