go back

Illinois 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
$74.98 / $268.80 / $835.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $12.96 / $20.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.80 / $97.30 / $271.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $15.46 / $21.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $14.31 / $26.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.72 / $32.31 / $206.82
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.69 / $26.47 / $30.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $15.86 / $24.59