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Maryland 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
$36.47 / $65.45 / $219.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $9.61 / $9.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $21.75 / $21.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.13 / $26.32 / $26.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $11.12 / $14.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $13.20 / $22.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $10.90 / $10.90