go back

Michigan 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
$11.87 / $146.88 / $768.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.26 / $11.14 / $17.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $31.07 / $59.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $21.27 / $25.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $146.12 / $741.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $13.34 / $18.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $14.96 / $23.03