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Arkansas rates for HCPCS 96376

Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.55 / $111.60 / $812.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $11.74 / $14.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.54 / $32.54 / $32.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.42 / $19.53 / $23.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $12.67 / $18.86