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Ohio 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
$78.04 / $320.89 / $915.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $11.14 / $30.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.20 / $32.45 / $50.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $10.69 / $11.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $11.12 / $27.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $15.97 / $25.27
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.54 / $124.96 / $229.63
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $19.45 / $25.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.21 / $33.15 / $40.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $15.00 / $30.60