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New York 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
$12.02 / $245.47 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.30 / $23.44
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $21.88 / $85.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $33.88 / $58.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $12.30 / $22.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $41.69 / $229.09
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.88 / $26.30
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $11.22 / $50.12
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.30 / $79.43