go back

Idaho 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
$71.09 / $273.60 / $820.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $13.53 / $13.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $16.73 / $27.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.87 / $124.13 / $298.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.43 / $14.43 / $15.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.65 / $18.01 / $35.68