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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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $467.74 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $1,202.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,174.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,818.38 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54