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Oklahoma 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
$63.75 / $254.39 / $858.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $9.28 / $9.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.37 / $15.36 / $21.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.75 / $59.10 / $149.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.39 / $12.53 / $17.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $12.64 / $18.13