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Hawaii rates for HCPCS 96376

Ther Proph/Dx Njx Ea Seql Iv Push Sbst/Drug Fac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.40 / $309.42 / $579.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.04 / $17.04 / $17.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.99 / $25.99 / $25.99
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $32.44 / $39.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $16.39 / $18.23
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.27 / $117.27 / $128.66