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Indiana 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
$97.70 / $441.41 / $915.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.99 / $8.99 / $11.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.76 / $400.00 / $1,460.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.20 / $27.76 / $37.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.44 / $11.39 / $13.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $8.86 / $10.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $15.14 / $36.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $13.15 / $19.07