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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)

Facilitymedian $309 · 10th–90th $158–$4370%10%20%10th90th$309Professionalmedian $12 · 10th–90th $9–$420%10%20%10th90th$12$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $309.03 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $37.15 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $18.20 / $18.20
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $128.82