go back

North Dakota 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.62 / $409.21 / $847.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $10.69 / $10.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.60 / $33.60 / $38.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $27.45 / $42.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.91 / $104.80 / $154.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $21.41 / $27.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.72 / $18.20 / $27.02