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California 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
$78.81 / $333.20 / $918.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $14.83 / $20.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.00 / $524.00 / $3,398.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $22.28 / $85.68
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $25.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $16.59 / $26.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $57.00 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.42 / $114.00 / $114.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.85 / $21.01 / $29.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $15.14 / $39.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $15.76 / $74.95