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Georgia 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
$70.72 / $322.57 / $892.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $9.97 / $10.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.00 / $506.01 / $669.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.35 / $11.35 / $17.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.21 / $12.21 / $12.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.22 / $13.59 / $24.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $275.00 / $294.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $17.80 / $25.14