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Hawaii 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
$158.49 / $309.03 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $37.15 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $18.20
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $128.82