go back

Maine 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
$52.75 / $147.57 / $898.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $17.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.68 / $15.71 / $24.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $18.04 / $22.32
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.50 / $316.50 / $316.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $13.35 / $20.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.66 / $135.97 / $679.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $17.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $19.57 / $23.91