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Pennsylvania rates for HCPCS 96376

Ther Proph/Dx Njx Ea Seql Iv Push Sbst/Drug Fac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.77 / $260.13 / $858.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.42 / $9.61 / $17.04
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.53 / $5,535.68 / $11,126.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.89 / $14.21 / $22.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.84 / $64.51 / $146.40
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,817.74 / $5,183.64 / $10,999.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.64 / $270.27 / $910.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.42 / $10.11 / $17.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.89 / $18.38 / $23.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $12.67 / $19.30