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Wisconsin rates for HCPCS M0243

Intravenous Infusion Or Subcutaneous Injection Casirivimab And Imdevimab Includes Infusion Or Injection And Post Administration Monitoring (Desc Rvsd 6/3/21)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $463.50 / $1,263.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $450.00 / $1,169.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.94 / $1,072.88 / $1,530.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,462.08 / $2,462.08 / $2,462.08