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Vermont 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
$107.15 / $501.19 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.13 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $229.09 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $19.05 / $20.89