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Virginia 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
$98.44 / $446.22 / $956.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.47 / $10.84 / $16.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.89 / $24.24 / $29.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $15.22 / $25.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.47 / $12.99 / $13.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.38 / $16.51 / $22.41
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.90 / $13.66 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $13.66 / $9,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $16.55 / $21.52