go back

Missouri 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
$29.89 / $214.89 / $666.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $10.05 / $12.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,423.00 / $1,466.00 / $1,641.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.32 / $16.43 / $24.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.94 / $33.94 / $33.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $17.73 / $25.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.96 / $92.39 / $178.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $13.96 / $23.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.62 / $13.88 / $23.79