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Arizona rates for HCPCS M0246

Intravenous infusion, bamlanivimab and etesevimab, includes infusion 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $645.65 / $741.31