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Nebraska 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
$59.71 / $181.32 / $839.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.08 / $353.69 / $689.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $14.06 / $19.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.00 / $74.00 / $74.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.31 / $31.84 / $36.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.59 / $145.86 / $245.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.26 / $20.69 / $27.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.75 / $22.40 / $26.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.75 / $22.84 / $28.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $20.81 / $23.67