go back

Wisconsin rates for HCPCS M0248

Intravenous infusion, sotrovimab, 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $776.25 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,318.26 / $2,691.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $4,677.35 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83