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Texas 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
$78.67 / $331.34 / $897.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $9.43 / $11.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.98 / $63.04 / $117.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.46 / $17.46 / $17.46
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $50.99 / $77.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.16 / $81.16 / $81.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.89 / $12.71 / $21.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.42 / $114.00 / $114.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.74 / $180.33 / $373.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $8.72 / $8.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.11 / $13.48 / $18.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $15.37 / $21.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $13.62 / $19.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.79 / $16.79 / $22.67