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Michigan 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)

Facilitymedian $158 · 10th–90th $50–$7410%5%10th90th$158Professionalmedian $11 · 10th–90th $9–$1120%10%20%10th90th$11$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $162.18 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $11.22 / $117.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $30.20 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $21.38 / $25.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $158.49 / $741.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.49 / $20.89
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $21.38 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.79 / $22.39