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Connecticut 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
$97.79 / $311.04 / $747.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.53 / $20.53 / $20.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $597.00 / $796.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $18.46 / $33.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.33 / $40.15 / $42.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $19.57 / $27.97
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.47 / $185.84 / $325.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.97 / $15.35 / $27.11